For hip or knee surgery,
spinal anesthesia
Which anesthesia is best for hip replacement?
Anesthesia during surgery
Penn anesthesiologists and surgeons recommend
spinal anesthesia
for joint replacement surgery. Recent research suggests that complications may be reduced after surgery with spinal anesthesia compared to general anesthesia.
What type of sedation is used for hip replacement?
Because you remain conscious, you will be given sedatives to relax you and put you in a light sleep. The three types of regional anesthesia used most frequently in joint replacement surgery are
spinal blocks, epidural blocks and peripheral nerve blocks
.
Is general anesthesia safer than epidural?
Also, the epidural anesthetic typically requires more skill to place and potentially has more complications. Although
both general and regional anesthesia are safe
, I encourage my patients to have regional anesthesia when appropriate because I see fewer side effects.
What is an acceptable anesthetic method for a patient undergoing a total hip replacement who has a history of malignant hyperthermia?
Malignant hyperthermia. Documented: avoid all triggering agents such as succinylcholine and inhalational agents: Proposed general anesthetic plan:
total intravenous anesthesia with nondepolarizing neuromuscular blockers
as needed.
Do they put you to sleep for hip replacement surgery?
Hip replacement surgery is usually done either
under general anaesthetic
(you’re asleep throughout the procedure) or under spinal anaesthetic (you’re awake but have no feeling from the waist down). Sometimes you may have an epidural, which is similar to a spinal anaesthetic.
How long does it take to walk normally after hip surgery?
Most hip replacement patients are able to walk
within the same day or next day of surgery
; most can resume normal routine activities within the first 3 to 6 weeks of their total hip replacement recovery. Once light activity becomes possible, it’s important to incorporate healthy exercise into your recovery program.
How painful is a hip replacement?
You can expect to experience some discomfort in the hip region itself, as well as
groin pain and thigh pain
. This is normal as your body adjusts to changes made to joints in that area. There can also be pain in the thigh and knee that is typically associated with a change in the length of your leg.
Is propofol used for hip replacement surgery?
Total-hip replacement performed under regional anesthesia with
propofol
sedation enables recovery of cognitive function (as assessed by SCWT) 2 hours after surgery.
How long is the recovery from hip replacement?
“On average, hip replacement recovery can take
around two to four weeks
, but everyone is different,” says Thakkar. It depends on a few factors, including how active you were before your surgery, your age, nutrition, preexisting conditions, and other health and lifestyle factors.
Do you pee under general anesthesia?
“It’s traumatic being catheterized and it extends the stay at PACU.”
Urinary
retention is a common complication that arises after a patient has anesthesia or surgery. The analgesic drugs often disrupt the neural circuitry that controls the nerves and muscles in the urination process.
What are the disadvantages of spinal anesthesia?
- Failure of the spinal.
- Pain during the injection.
- Low blood pressure.
- Headaches.
- Itching.
- Difficultly passing urine.
- Backache.
Which is safer general or spinal anesthesia?
Kuju et al compared the effectiveness of spinal anesthesia and general anesthesia for open cholecystectomy and results shown that
spinal anesthesia is safe
and more effective than general anesthesia.
What disease is most associated with malignant hyperthermia?
The most common of these conditions are
Duchenne and Becker muscular dystrophy
. Although rhabdomyolysis with hyperkalemia can be a feature of MH, the MH syndrome usually manifests signs of hypermetabolism, such as respiratory acidosis, metabolic acidosis, and excessive heat production.
Which is an alternative anesthetic agent and will not trigger malignant hyperthermia?
Anesthetic agents, which may trigger MH in susceptible individuals, are the depolarizing muscle relaxant, succinyl choline and all the volatile anesthetic gasses.
Nitrous oxide
, intravenous induction agents, benzodiazepines, opioids, and the non-depolarizing relaxants do not trigger MH.
What agents can trigger malignant hyperthermia?
Triggering Agents
According to the Malignant Hyperthermia Association of the United States (MHAUS), the following agents approved for use in the U.S. are known triggers of MH:
inhaled general anesthetics, halothane, desflurane, enflurane, ether, isoflurane, sevoflurane, and succinylcholine.
