Published
interesting discussion. liked to hear our members thoughts.
[color=#5757a6]how breast surgery killed a florida teen
...what we know, so far, is that the 18-year old florida patient developed the very rare complication of general anesthesia, malignant hyperthermia, literally "dangerous [color=#006699]elevated temperature". .
...ga is the predominant choice of anesthesia cosmetic surgery, so her surgeon was within the ‘standard of practice' in that choice – expedience over outcomes.unfortunately, ga or the ‘standard of practice' includes many unnecessary, avoidable and potentially fatal risks to patients choosing to have surgery that has no medical reason or indication.
among those avoidable risks are mh, blood clots to the lungs, airway mishaps leading to lack of oxygen to the patient's brain, postoperative nausea and vomiting (ponv), and postoperative cognitive disorder (pocd).
all of these risks can and should be avoided by having surgeons and patients choose a kinder, gentler anesthetic technique – propofol ketamine or minimally invasive anesthesia (mia)⮠pioneered by friedberg.
neither propofol nor ketamine are triggering agents for mh. had ms. kubela received mia, she would likely be alive today. bis monitoring of the patient's brain gives a numerical value of propofol sedation at which ketamine can be given without negative side effects...
teen dies after breast augmentation surgery - health news story ...
wtbcrna, MSN, DNP, CRNA
5,128 Posts
Just two things: 1. When nurses are talking about evidence based research it is EBP (evidenced based practice). We use the term EBP, because it shows that we are open to all research not just research done by people w/ MD or DO behind their names. 2. I will assume there is no reason to do research on ketamine at this point, if one of the U.S.'s biggest MH research facility & faculty don't see a need to do further research on ketamine then what is the point (It wasn't even mentioned as potentially controversial by Dr. Muldoon during her lectures on MH). The research is overwhelming in favor that ketamine is safe to use just like all other known IV anesthetics for MH patients.
FYI: The biggest push for MH research right now is finding a genetic test for MH susceptible patient vs. muscle biopsy, and several of my classmates are involved in that research for their SRNA research project.