Brian Klagges

Treating Pain at Amoskeag Anesthesia

About Brian Klagges

A successful physician with many years of experience in anesthesiology and interventional pain management, Dr. Brian Klagges currently works as a physician at Amoskeag Anesthesia, PLLC, in Manchester, New Hampshire. In this capacity, he practices anesthesiology and provides top-quality medical care for patients in need of pain treatment. Dr. Brian Klagges also serves on the staff of Elliot Hospital, where he belongs to the Division of Anesthesiology and Pain Medicine and the Department of Surgery.

During his career in medicine, Dr. Brian Klagges has received a number of awards and recognitions for his achievements. In 2006, he accepted the Benjamin and Maureen Robelen Award, given every year to the top anesthesia resident at Caritas-St. Elizabeth’s Medical Center in Boston, a mjor teaching affiliate of Tuft's Medical School. He also received the 2006 Paul Levesque M.D. Annual Resident Award in Pain Management and an Alpha Omega Alpha National Medical Honor Society Research Fellowship Award in 1999. He graduated from medical school with research honors.

Dr. Brian Klagges holds an MD from the State University of New York at Buffalo School of Medicine and Biomedical Sciences.

What to Expect of Your Anesthetic

Dr. Brian Klagges is an anesthesiologist at Elliot Hospital in New Hampshire. After earning his BS degree in biology and psychology, Dr. Brian Klagges went on to earn his MD from the medical school at the State University of New York at Buffalo, after which he served a residency in anesthesiology at the Caritas-St. Elizabeth’s Medical Center in Boston.

General anesthesia is the induction of a balanced state of unconsciousness, accompanied by the absence of pain sensation and the paralysis of skeletal muscle over the entire body. It is induced through the administration of anesthetic drugs and is used during major surgery and other invasive surgical procedures.

There are several steps patients are required to take before an operation. Prior to the procedure, they should provide the anesthesiologist with an accurate list of any medications or supplements they are taking, as well as any medication allergies that may be relevant to the operation and anesthesia. The anesthesiologist will discuss the anesthetic type with the patient as well as the benefits and potential drawbacks of receiving an anesthetic. Patients will be asked to not eat anything in the hours before the procedure.

Anesthesia can be delivered in any number of ways. Some anesthetics are administered intravenously, for example. Some individuals with a fear of needles can request a local anesthetic be administered prior to placement of the intravenous catheter. In some cases, patients need only receive a local or regional anesthetic. If this is the case, they can choose to remain awake throughout the surgery or be sedated.

A Brief Overview of Minimally Invasive Lumbar Decompression

Dr. Brian Klagges is an award-winning New Hampshire physician who currently treats patients at Elliot Hospital and Amoskeag Anesthesia, PLLC, in Manchester. A leader in his field, Dr. Brian Klagges was the first surgeon in New Hampshire to perform minimally invasive lumbar decompression.

Minimally invasive lumbar decompression (MILD) is a relatively new surgical procedure used to reduce pain and increase mobility in patients suffering from lumbar stenosis. The traditional surgical option for treating stenosis is a laminectomy, which involves cutting out pieces of bone and ligament that are crowding nerves in the spinal canal. MILD can have significant advantages over a traditional laminectomy, including reduced cost, blood loss, and hospitalization, as well as a quicker recovery time.

During the procedure, a surgeon uses 3D fluoroscopic guidance to insert a small probe approximately the size of a pencil into the problem area. The surgeon then shaves a portion of ligament to relieve the distressed nerves. The entire procedure typically takes little more than an hour and requires no overnight stay in the hospital. Also, because no sutures are needed, most patients can return to their normal activities the very next day.

Genicular Nerve Ablation a New Treatment for Knee Pain

Brian Klagges serves as a physician and anesthesiologist in southern New Hampshire. A “Leading Physician” for 2013 and 2014, as designated by New Hampshire Magazine, Brian Klagges has expertise in many new surgical techniques, such as genicular (knee) nerve ablation for severe osteoarthritis.

Genicular nerve ablation is an alternative to traditional interventions for chronic knee pain. It is a one-day procedure that prevents pain signals from the knee from reaching the brain.

Doctors test for a patient's suitability for the procedure by performing nerve block testing. Using this technique, nerves causing pain are temporarily blocked by an injected local anesthetic. If the patient reports no pain, a full-blown nerve ablation may be successful. (Nerve-blocking is also a one-day procedure).

The operation is performed under local anesthesia, so patients are able to talk to the doctors at any time. Using an X-ray machine, the doctor puts in a special needle that emits radiofrequencies onto designated nerves. When the needle is in the proper position, the doctor activates it, using its energy to seal off the nerve end. Each application takes about 60 seconds. Vital signs (i.e., pulse, blood pressure, respiratory rate) are monitored throughout.

New Hampshire Magazine’s Process for Selecting Best Doctors

Dr. Brian Klagges is a physician and anesthesiologist at Elliot Hospital. Practicing medicine for more than a decade, Dr. Brian Klagges was named a leading New Hampshire physician in the field of anesthesiology in 2014 by New Hampshire magazine.

Each year, New Hampshire magazine releases a list of leading doctors within the state. Those represented practice in areas such as anesthesiology, cardiology, sleep disorder medicine, and rehabilitation and physical medicine. The physicians are chosen based on a survey that is distributed and completed by licensed doctors approved by the state’s board of medicine. The survey solicits nominations in 45 areas of specialty and has resulted in hundreds of nominees in years past. Of the nominees, the doctors with the most votes in a specific area of practice are grouped into a list for a background check. Upon passing, the professionals earn a place among the best physicians in the state.

To ensure that the list remains unbiased, New Hampshire magazine’s editors are restricted from visiting nominees at their practice and are prohibited from screening doctors’ credentials.

Elliot Hospital’s Annual Spring Fundraising Events

An award-winning pain management specialist and anesthesiologist in New Hampshire, Dr. Brian Klagges earned his MD at the SUNY at Buffalo School of Medicine and Biomedical Sciences. Dr. Brian Klagges currently serves as the director of interventional pain management and the director of the interventional spine center at Elliot Hospital in Manchester, New Hampshire.

In addition to providing high-quality care, Elliot Hospital hosts a number of fundraising events throughout the year, including the annual Kork for Kids event and the annual Elliot Hospital Golf Classic.

The Mary & John Elliot Charitable Foundation most recently hosted its third annual Kork for Kids event in April at the Manchester Country Club, where nearly 120 guests gathered to support the event. The fundraiser successfully raised $6,500, which the Pediatric Emergency Department at New Hampshire’s Hospital for Children will use to acquire a new infant warmer. During the event, guests also partook in a three-course meal and learned about the wine pairings from the director of Italian Wines for Horizon Beverage Company.

In June, Elliot Hospital held its 16th Annual Golf Classic at Passaconaway Country Club in Litchfield. The sold-out event secured more than 50 business sponsors and surpassed its fundraising goal, yielding more than $105,000 for New Hampshire’s Hospital for Children.

Comment Stream