TKR Op surgery anesthesia

Moriah

new member
Joined
Jul 25, 2020
Messages
16
Age
60
Gender
Female
Country
United States United States
I have been going to my ortho for cortizone and it no longer works. I asked to schedule surgery, Tkr. I can’t walk down a hall and back without pain. So I met with my doc, robot assisted OP. His PA called me when I had more questions and tells me I’ll be awake during the surgery. Horrified to say the least. Who has a major surgery awake ? I need to hear other people’s experience, with an epidural, nerve block (before or after epidural?) and IV sedation. I had a colonoscopy and was completely out with IV but then again there wasn’t a Santa’s workshop going on at the same time. I want to know if I’ll be looking at the ceiling for 2 hours with sawing, pounding, drilling, roboting, and more drilling. The PA said “like a nap” “some people hear pounding”. if my husband was using his awesome drill I purchased for him on the bed while I “napped” I wouldn’t be napping anymore. Is there anything I can do like bribe the anesthesiologist to put me under ? I don’t want to be awake at all. I will be at an orthopedic surgery center and I won’t go to a regular hospital with covid so the other option is to live with the pain until a vaccine and switch docs to have general anesthesia. Your feedback is appreciated!
 

Celle

MODERATOR
Moderator
Joined
Nov 19, 2011
Messages
39,860
Location
New Zealand
Gender
Female
Country
New Zealand New Zealand
@Moriah , you won't have to be awake.
Most people who have a spinal anaesthetic also have a sedative that helps them to sleep through the whole operation. The only ones who stay awake are those who actually ask to - something I would never do.

This article explains about the different types of anaesthetics:
Anaesthetics - spinals, femoral blocks, GAs and everything else

It sounds as if you surgeon's PA still has a lot to learn.
 

Sara61

FORUM ADVISOR
Forum Advisor
Joined
Oct 1, 2019
Messages
1,156
Gender
Female
Country
Portugal Portugal
@Moriah When I went for my surgery in October last year, I wanted to have a general anaesthetic.
But at the time of the surgery, the anethetist told me it would be a spine block as healing was far quicker and there are less side effects. To be honest, it was a weird sensation.
I was there but I wasn't. They give you a sedative so despite hearing the odd noise, including drilling, hammering, odd bits of conversation... you don't relate it happening to you.
it was if they were doing it to someone else. You dont feel a thing and, in my case, I must have dozed off :sleep:
Before I knew it, I was sitting up in bed with a new knee and a wonderfully clear head.
I previously had, a year before, a general anesthetic for the removal of varicose veins and the wake up time took about 4-5 hours and I was groggy afterwards.
I would definitely recommend a spinal block as, 30 minutes after my surgery, I was chatting to my husband and drinking a cup of tea.
Hope this has made your decision easier for you xx
 

Jaycey

FORUM ADMINISTRATOR
Administrator
Joined
Jan 27, 2010
Messages
32,265
Location
Yorkshire
Gender
Female
Country
United Kingdom United Kingdom
@Moriah just tell the anaesthetist that you don't want to see or hear anything. They will give you a sedative and watch to make sure you stay in a nice, comfy sleep through the whole procedure.
 

Roy Gardiner

MODERATOR
Moderator
Joined
Jul 23, 2011
Messages
7,153
Age
68
Location
Essex and London
Gender
Male
Country
United Kingdom United Kingdom
@Moriah just tell the anaesthetist that you don't want to see or hear anything. They will give you a sedative and watch to make sure you stay in a nice, comfy sleep through the whole procedure.
Exactly what happened to me. I was most insistent that I absolutely DID NOT want to be awake, and I wasn't. Pre-op (not even in the theatre) to recovery room, total blank in between.
 
OP
OP
Moriah

Moriah

new member
Joined
Jul 25, 2020
Messages
16
Age
60
Gender
Female
Country
United States United States
thanks for the feedback and reading my rant. I can tell this site will be really really helpful.
I really liked the IV with the colonoscopy last year so I’m hoping they use the same, something that looks like skim milk in the needle. They told me before the colon that I would be totally out and not remember anything. That’s what happened. That is not what the ortho PA said, “you will be relaxed”. Is that what’s called “twighlight” ? Can they tell if you are partially awake ? I woke up during my previous colonoscopy 10 years ago and was just told “almost done” 15 minutes. it was not fun.
Also does the nerve block happen before the spinal ? Again thanks for feedback.
 

kneeper

FORUM ADVISOR
Forum Advisor
Joined
Dec 11, 2010
Messages
12,779
Gender
Female
Country
United States United States
I think it must be something similar to the colonoscopy. The docs may not consider it technically that you're "out" but as far as you know you are. With my knees I remember waking up in the recovery area feeling like I'd had a really good nap.
I agree with the others that you should tell the anesthesiologist that you do not want to hear anything.
 

Tykey

big-cheese
Joined
Apr 25, 2010
Messages
4,497
Age
72
Location
Sheffield, uk
I wanted to stay awake, so had a spinal, but he put me to sleep with extra happy juice.
The second time, I stayed awake for about half the time, but even then I was off with the fairies.
It really is a non event, absolutely nothing to worry about. It's pretty boring, actually, even if you stay awake.

Some people take a video, a music CD, or an audio book to pass the time.
 

InkedMarie

graduate
Joined
Feb 25, 2018
Messages
744
Age
59
Location
Gilford, NH
Gender
Female
Country
United States United States
I had a choice for anesthesia. If you want general, unless there’s an underlying issue, you should request it.
 
OP
OP
Moriah

Moriah

new member
Joined
Jul 25, 2020
Messages
16
Age
60
Gender
Female
Country
United States United States
Thank you everyone for your experience. Helps to here from those on the other side. I’ll just bring a 50 dollar bill and bribe the anesthesiologist !
 

Celle

MODERATOR
Moderator
Joined
Nov 19, 2011
Messages
39,860
Location
New Zealand
Gender
Female
Country
New Zealand New Zealand
You won't have to bribe the anaesthetist. Just tell him/her you don't want to be aware of anything.
So I met with my doc, robot assisted OP. His PA called me when I had more questions and tells me I’ll be awake during the surgery. Horrified to say the least.
Just remember that your surgeon is in charge, not his/her PA. The PA is there to learn from your surgeon and sometimes PAs haven't yet learned enough. PAs may think they know everything, but they don't.
 

Celle

MODERATOR
Moderator
Joined
Nov 19, 2011
Messages
39,860
Location
New Zealand
Gender
Female
Country
New Zealand New Zealand
Here is some reading for you, to help you prepare for your surgery:

Longevity of implants and revisions: How long will my new joint last?

If you are at the stage where you are planning to have surgery but are looking for information so you can be better prepared for what is to come, take a look at these links:
Recovery Aids: A comprehensive list for hospital and home
Recliner Chairs: Things you need to know if buying one for your recovery
Pre-Op Interviews: What's involved?

And if you want to picture what your life might be like with a replaced knee, take a look at the posts and threads from other BoneSmarties provided in this link:
Stories of amazing knee recoveries
 

New

Active Antibacterial

BoneSmart #1 Best Blog

Staff online

Forum statistics

Threads
51,959
Messages
1,390,282
BoneSmarties
32,466
Latest member
Eddiefeb
Recent bookmarks
0

Top Bottom