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Topic: Local vs general anesthesia- comments?? (Read 606 times)
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NadiaMac
MINIgeek (20-50 posts)

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Posts: 38
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I'm not sure how widely gas anesthesia (tube down your throat) is used these days, but perhaps someone else can comment on that. For both of my recent surgeries (knee two weeks ago, foot four years ago) I had anesthetic through the IV. For the foot, it was propofol. Don't know what they used for the knee, something similar I suspect.
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4/09 Mt bike crash w/ severe patellar impact. Dx gr 2+ cart damage medial patella Cortisone, SynVist, much PT followed 10/23/09 Scope: chondroplasty (Gr3 on patella), surprise torn lateral meniscus trim & scarred medial plica removal
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Clarkey
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Thanks ipswich1984 and I am sure its just an injection into the hand to send you to sleep and not gas anymore. I see your dad is an OS and I am sure he would know my sister Jinny Earl as she works with the OS's on a regular basis. I will have a word with the Anesthetist to make sure he/she does an injection and puts the mask over my face once I am asleep which is oxygen I think? Nick  {2009} 
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R knee - maltracking, catching, sharp pain and swelling
Given Cortisone injection into the right knee on lateral side on 23/04/09 by Mr Green at Birmingham Knee & Shoulder Clinic but failed.
Arthroscopy due on my right knee 16/11/09
L knee - Maltracking & can painful at times
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ipswich1984
MINIgeek (20-50 posts)

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Posts: 44
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I wasn't very clear when I said I went into theatre with my dad.
He was in as a patient rather than as an OS, he is deaf and the hospital let me come in to interpret for the surgeon as he was having a local anaesthetic, as I said it was an eye opener when seeing the surgeon working (he was having a mole removed from the ankle area) but in my situation of having a TTT I am not sure I would want to be awake, I suppose it depends on the procedure as to whether you would want to be aware of what is going on.
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November 2005 - Arthroscopy RK. December 2006 - Lateral Release RK. Febuary 2008 - RK Subluxation. Back to physio. October 2008 - Added to list for TTT/LR. Told I have Hypermobile joints. March 2009 - TTT/LR RK. Oct 2009 - Added to waiting list for TTT LK (approx 18 wks)
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Clarkey
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Dont worry about its partly my fault as well  its was nice that the hospital allowed you into theatre to be with your Dad and must have been interesting for you to be in the theatre as not many people get the chance to be in there unless your are staff. Nick  {2009} 
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R knee - maltracking, catching, sharp pain and swelling
Given Cortisone injection into the right knee on lateral side on 23/04/09 by Mr Green at Birmingham Knee & Shoulder Clinic but failed.
Arthroscopy due on my right knee 16/11/09
L knee - Maltracking & can painful at times
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ipswich1984
MINIgeek (20-50 posts)

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Gender: 
Posts: 44
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It was very interesting as I got to see it from another point of view, not being the patient for a change.
It gave me an understanding of what goes on in theatre and if anyone got the chance they should definetly do it.
I did make sure they told me when there were any needles about though, but had no problem watching the actual incision, but not sure how I would be if it was my own leg.
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November 2005 - Arthroscopy RK. December 2006 - Lateral Release RK. Febuary 2008 - RK Subluxation. Back to physio. October 2008 - Added to list for TTT/LR. Told I have Hypermobile joints. March 2009 - TTT/LR RK. Oct 2009 - Added to waiting list for TTT LK (approx 18 wks)
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oohheykate
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For both of my surgeries I had GA, both times through a mask. Then after I was out they put in the IV and the liquid GA to keep me asleep. I get terrible side effects from the GA and I'd actually prefer to stay awake but I'm too young for that.
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-15 years old- Left knee; 11.07.08- Scope 07.02.08- LR 11.11.09- diagnosis of Patellar Instability Ongoing PT for 2 years.
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Clarkey
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Just what I did not want to hear on this thread using gas and mask these days and thought that they no longer use gas except for children and people who dont like needles. They may well use it in 3rd world countries but surprised that they are still doing it nowadays. I will not go and have the scope if they used gas as I never want to experience that feeling of suffocation like I did as a kid twice and was screaming and crying just before they put mask over my face. I will make it clear to my anesthetist to put me to sleep with an injection into my hand. Nick  {2009} 
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« Last Edit: November 07, 2009, 10:52:02 am by Clarkey »
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R knee - maltracking, catching, sharp pain and swelling
Given Cortisone injection into the right knee on lateral side on 23/04/09 by Mr Green at Birmingham Knee & Shoulder Clinic but failed.
Arthroscopy due on my right knee 16/11/09
L knee - Maltracking & can painful at times
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clarky_vl
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Hi Nick, As they have always told me, they wont do anything without your permission. Let them know exactly how you feel about it. And you are right anyway, mostly they use an IV and inject these days, because it is safer and gives them more control. For all of mine I have had gas first then IV when asleep (like oohheykate) but that is because I am the opposite to you, and have problems with an IV and finding veins, it gets me really worked up. Not one of them has managed to get the IV in first time  , and it is very unpleasant for me. I ask for the gas (otherwise I end up like a pin cushion...) and they always comply, so let them know, they have to listen. Good luck, and please dont worry too much about the anaesthetic part of it! Vicky
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29/11/06 Ruptured ACL (LK) 11/10/07 ACLr, hamstring autograft, lat meniscectomy, and microfracture 29/7/08 ACL revision, contralateral hamstring with LARS 7/7/09 (2nd) ACL revision, quad tendon with LARS 10/09 Graft failure confirmed pain and instability.
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dm
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That's an important note, that the previous poster brought up, talk the the anesthesiologist, make sure they know these things - if you're needle-phobic, if you're difficult to start an IV in, if you've got a high level of anxiety about procedures, if you're a post-anesthesia puker, etc. If you tell them these things, they can do something about them.
They can give you a shot of local anesthetic with a tiny needle before sticking you with the big IV needle, and that makes a big difference, let me tell ya, if you really get worked up over the needle sticks. Once they've got it going, they can medicate you for anxiety before the procedure, so you're not so fretful. They even pre-medicated me for the nausea issue, so I wouldn't puke waking up after the GA.
You can also ask if they're going to use a laryngeal mask airway (LMA) instead of an endotracheal tube (ET). The LMA doesn't leave you with a sore throat like the ET tube does. The difference is that the ET tube is passed down through the voicebox, and the LMA isn't, it's seated in the back of the throat past the tongue. You don't gag on it because of the anesthetic. At least if you know which airway they're using, you can be better prepared on what to expect for the sore throat department.
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multiple arthroscopies 2/00,3/01,6/01,1/03 and now 12/07. chondromalacia, severe medial joint space narrowing following 3 partial menisectomies, chronic pain problems, kneecap problems much worse
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