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Spinal or General?

Discussion in 'Knee Replacement Pre-Op Area' started by grandma10, Jun 2, 2019.

  1. grandma10

    grandma10 new member
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    I am having surgery on July the 1st. I am wondering if I should go with general Anethesia or do the Spinal for pain?
     
  2. rosieNZ

    rosieNZ member

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    Hi. I am sure you will get good advice here.
    I have had both. Neither are about post op pain.
    With both anaesthetics you will not feel the surgery. With both anaesthetics your surgeon can add medication into your new joint to assist with pain management post surgery.
    The difference for me was a faster recovery after surgery with a spinal anaesthetic and no post op siee throat, nausea or vomiting etc. I would do a spinal again for any surgery it was offered for but this is a personal decision for you and your surgeon. Best wishes for a speedy recovery.
     
  3. Jaycey

    Jaycey SUPER MODERATOR Moderator

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    I would go for spinal any day over general. It took me days to recover from the general anaesthetic I had during my spinal surgery. Although I was very worried about having a spinal it was really a non-event. And recovery is MUCH easier. No groggy feeling or nausea.
     
  4. Tykey

    Tykey Sr Bonesmartie

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    I had spinal, but because I wouldn't shut up telling stories as they started preparing me in theatre, they gave me a VERY light general to keep me quiet. No problems at all with recovery, woke up bright as a button.
     
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  5. Jockette

    Jockette FORUM ADVISOR Forum Advisor

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    I requested general because I have low back issues and didn’t want any needle in my back and my anesthetist agreed without any argument.

    If I woke up groggy, I don’t remember that part. I did have a patch for nausea that worked really well for me. I remember being fairly alert and having a good appetite.
     
  6. ArmyVet

    ArmyVet junior member

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    I was honestly scared of the spinal. When I met with my anasthesiologist the morning of surgery, I said that I was scared of the needle going in my back, and asked if he could make it so I didn't know what was happening. They put SOMETHING in my IV before I went back to the OR, then I got to see the OR and say hi to my OS, but dang, if that wasn't the last thing I remember until I woke up in recovery!!! I had NO nausea, no problems waking up, ate as soon as I got in my room, and then went for a walk!!! I'll take one of those spinals ANY DAY!!!
     
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  7. Celle

    Celle FORUM ADVISOR Forum Advisor

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    Hello @Grandma - and :welome:

    Please will you tell us the which knee is being replaced on July 1 and whether you are having a total knee replacement (TKR) or a partial (PKR), so we can make a signature for you? Thank you.:flwrysmile:

    You won't feel any pain during the surgery, whether you have a spinal or a general anaesthetic.
    Here is an article about different types of anaesthetics:
    Anaesthetics - spinals, femoral blocks, GAs and everything else

    And here is some more information, 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?

    Regardless of where you are in the process, the website and app My Knee Guide can help you stay organized and informed. The free service keeps all the information pertaining to your surgery and recovery in one place on your smartphone. It is intended to be a personal support tool for the entire process.

    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
     
  8. Cynof4

    Cynof4 member

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    Definite "no!" on the spinals for me! I've tried twice and been converted to generals both times. No more needles near me spine. :bignono: I do not have any problems with grogginess or nausea after generals and I like knowing I am out!

    ~Cynthia
     
  9. newpartial

    newpartial junior member

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    Well I go in tomorrow and will be asking for a general .. I gave lots never any problem ... will be posting on the other side very soon so will let you know how I get on :) :-) (:
     
  10. winemama

    winemama member

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    Spinal for me, I to had a fear of the spinal, and told the Dr , she was so nice, said don’t worry, don’t remember a thing. I woke up clear headed, and chatty
     
  11. linney619

    linney619 member

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    I like the spinal I recovered much faster didn't get nauseous I may be going in for my other knee going to Doc. For xrays in July if so it will be a spinal.
     
  12. newpartial

    newpartial junior member

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    I had my surgery today general with femoral block. Had surgery at 830 this morning and femoral is just starting to ware off. Still in hospital and staff consistently monitoring so my experience so far has been really good for that combination.
     
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  13. maryo52

    maryo52 FORUM ADVISOR Forum Advisor

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    Someone from the anesthesiology department has to have contact with you before surgery, and again just before surgery. You can arrange to discuss the pros and cons with them.
     
  14. newpartial

    newpartial junior member

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    It depends on which country as in the uk you only meet the anethetist just before you go into surgery. You tend only to meet with the surgeon and pre op assessment nurse before hand
     
  15. Poctdb

    Poctdb new member

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    I just did my pre op today and was seen by the Nurse Practitioner from the “gas group”
    I will have general with a nerve block also with an order post surgery for anti nausea drugs.
    The deal is if I can say the drug name....they give it to me. Phenergen.....
     

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