Banner - Hide this banner





Author Topic: anesthesia or spinal?  (Read 9741 times)

0 Members and 1 Guest are viewing this topic.

Offline msumma1

  • MINIgeek (20-50 posts)
  • **
  • Posts: 28
  • Liked: 0
  • User's Text
Re: anesthesia or spinal?
« Reply #15 on: November 03, 2003, 05:33:53 AM »
I am facing surgery in December for the second time on my right knee. My doctor wanted a spinal, but agreed to general if I can get the enesthesiologist to agree. The first time I had general with a morphine block, and I did fine. I frankly don't want to be awake for any part of this, and I don't want the problems I have heard may occur with a spinal. Does anyone know if anesthesiologists usually go with patient preference? My injuries are significant enough that my doctor says I have no choice but surgery, and I am very worried about the anesthesia issue.
ACL,LR,MR surgery 1998,MR,LR,ACL surgery 12/03

Offline ~*Heather*~

  • SuperKNEEgeek
  • *****
  • Posts: 620
  • Liked: 4
  • Why me? Why is it always me?
Re: anesthesia or spinal?
« Reply #16 on: November 03, 2003, 02:32:34 PM »
Msumma,

You ALWAYS have a say when it comes to getting knocked out. Sometimes the surgeon's have preferences, however, it is your call. I recently had a TTT and a quad tendon repair revision and I hated to be put under. I had had 5 other surgeries all of which I was knocked out. This time I expressed my fear and I had an epidural along with heavy sedation through IV. I don't like the idea of a machine breathing for me.  I was out the whole time and don't remember a thing. I woke up feeling much better than if I had been totally under, ex. groggy, cick to my stomach, dry mouth. Also having the epidural helps with pain relief after the surgery. There are risks with any type of anesethia. Be sure to be informed by your OS and your anesethiologist, but like i said, it's your call.

Good luck!

Heather  
R knee-2 LR's, 1 ITB Release. L knee-LR/medial plication (2/02).Fell postop 3/02 & ruptured quad tendon.Quad tendon repair (8/02).Led to Patella Baja.TTT w/ Quad tendon reefing 9/03.Screw removal 8/04

Offline msumma1

  • MINIgeek (20-50 posts)
  • **
  • Posts: 28
  • Liked: 0
  • User's Text
Re: anesthesia or spinal?
« Reply #17 on: November 03, 2003, 11:11:32 PM »
Heather,
This reassures me so much. For me, the thought of knowing anything during the surgery is the most frightening part of it. I was completely out under general along with a femoral block done after I was out the first time. I didn't have any side effects of the anesthesia, even though I am aware that respirations are taken over by a ventilator with a general.  I will probably be staying in pretty close contact with you all through this. Even as a newbie, I am already feeling much better with the support and information I have found here. Thanks again!
Mari
ACL,LR,MR surgery 1998,MR,LR,ACL surgery 12/03

Offline ~*Heather*~

  • SuperKNEEgeek
  • *****
  • Posts: 620
  • Liked: 4
  • Why me? Why is it always me?
Re: anesthesia or spinal?
« Reply #18 on: November 03, 2003, 11:38:33 PM »
Mari,

I'm glad you have found support here. Please feel free to keep in contact as I will be curious as to how it all goes for you. I'll be pulling for you!!

Hugs,
Heather
R knee-2 LR's, 1 ITB Release. L knee-LR/medial plication (2/02).Fell postop 3/02 & ruptured quad tendon.Quad tendon repair (8/02).Led to Patella Baja.TTT w/ Quad tendon reefing 9/03.Screw removal 8/04

Offline Jennifer_G

  • Regular Poster
  • ***
  • Posts: 65
  • Liked: 0
  • Will I ever get better???
Re: anesthesia or spinal?
« Reply #19 on: November 24, 2003, 08:04:09 PM »
I would take a femoral nerve block any day over an epidural!  I must have reacted very badly to the epidural so my experience is the worst case scenario.  I woke up from surgery violently shaking and had to be given something to relax me.  I then was itching so badly I was making myself bleed and was unable to urinate for about 12 hours after surgery (muscles were still affected).  The nerve block lasted 24 hours and was a piece of cake when they gave it to me and no real after effects.  
07/25/03--ACL recon with meniscus trimming
09/19/03--Manip with epidural, scope, and lateral release
02/06/04--Open Debridement, Manip, open release of intrapatellar fat pad, lateral release, Inpatient on Epidural
03/09/05--Open Anterior/Posterior Release, Scope, Inpatient on Epirdural

Offline bethg79

  • MINIgeek (20-50 posts)
  • **
  • Posts: 23
  • Liked: 0
  • User's Text
Re: anesthesia or spinal?
« Reply #20 on: December 15, 2003, 09:26:36 PM »
You guys are scaring me now!

I'm having a plica removal and general clean-up on 12/30. I had my preop appointment, and they told me there that I was going to have a general ... apparently that's all they do at the clinic I'm going to.

They also told me that I would be given "a mild painkiller", but they didn't name it...what painkillers were you guys given to go home with? Did they work well or no? They are only going to keep me from 1/2-3 hours after my surgery (until I'm awake), and I'm terrified of going home in unbearable pain now!

Bethg79
Gettin sick of limpin my way through life!

Offline Missy0503

  • MICROgeek (<20 posts)
  • *
  • Posts: 7
  • Liked: 0
  • User's Text
Re: anesthesia or spinal?
« Reply #21 on: December 15, 2003, 09:53:16 PM »
Hey there, I understand how you are feeling.  When I had my surgery I was told it would be out patient as well.   I was terrified!!!!  I have a low pain threshold and a high tolerance to pain meds, alway have even as child.  When the anathesiologist came to talk to me before surgery I told him about my fear.  He told me he would talk to the doctor for me.  Apparently my doctor listened because they decided to keep me for a few days to make sure I was not screaming with pain.  I don't know if this helps, but I would talk to those folks working with you.  Thats what they are there for.  Good Luck
Missy

Offline bethg79

  • MINIgeek (20-50 posts)
  • **
  • Posts: 23
  • Liked: 0
  • User's Text
Re: anesthesia or spinal?
« Reply #22 on: December 20, 2003, 07:31:54 PM »
Missy,

Sorry for replying so late...I'm a married grad student, which means not a lot of time on my hands!

Thanks for your advice...I don't know if I have a high tolerance for pain meds, as I've never been on anything heavier than advil! However, both my grandmother and mother have a high tolerance...my mom had two back surgeries, and it took them over two times the normal dose to knock her out :/

I'll definitely talk with the anesthesiologist when I go in, but I don't think they're going to be able to keep me overnight...I'm going to an outpatient clinic for the surgery, which means they aren't equipped to keep people overnight. However, they're directly across the street from one of our major hospitals, so if it turns out they absolutely need to keep me, I'm sure they'll transport me over there.  (Of course, that's if my insurance will allow them)

What kind of painkillers were you given after the surgery? My informational packet says "you will be given a prescription for a light pain medication"...but I don't know if they count vicodin as "light".

Man i'm so nervous about this now...just over a week to go, and part of me wants to call and cancel the surgery. But then I end up limping my way in to lab from my car, and seeing how hard it is to do anything in my glovebox while i'm sitting on a stool.  And they're not even sure how much getting my plica removed is going to help!

Gettin sick of limpin my way through life!

Offline dawnb1968

  • Regular Poster
  • ***
  • Posts: 147
  • Liked: 0
  • I'm not crazy. Sometimes you just gotta vent !
Re: anesthesia or spinal?
« Reply #23 on: December 20, 2003, 11:37:07 PM »
Hi,

I had a partial meniscectomy on Dec 2, and I was very nervous before hand also. I had never had any kind of surgery before. I was given the spinal anesthesia and I remember being rolled into the OR and the nurses and my OS talking to me for a couple of minutes, then I remember waking just as they were rolling me out of the OR.
I was feeling pretty good until the nurse gave me some pain medication and it made me sick a little while later and a while after that I started itching a little bit which they gave me benadryl for. I tried 2 different pain meds in both cases they made me sick so I didn't take anything after the first day and a half, and I didn't need anything. I had very little pain and I took Advil or Motrin for the aching I did have.
I would definitely go through with the surgery, I mean if there's a chance that it will do some good it will  be worth it !
Good Luck !

Dawn
left knee : partial meniscectomy, chondroplasty 12/03 , ACL recon 2/04 ,osteochondral defect lateral femoral condyle, medial joint space narrowing, chondromalacia grade II patello-femoral joint

Offline mary123

  • MICROgeek (<20 posts)
  • *
  • Posts: 4
  • Liked: 0
  • User's Text
Re: anesthesia or spinal?
« Reply #24 on: December 21, 2003, 01:41:14 AM »
HI!
I have had both - general and spinal anesthesia. I have had no several pains after these anesthesias. I think it depends of the pain placates. But I never want to have general anesthesia again. Last time it was so awful!!! At the middle of the surgery I woke up. I just could not move anything and open the eyes. I heard everything. And I feel something, too (not a strong pain bacause before general anesthesia spinal anesthesia was done). But the biggest problem for me was that I could not respire. Saliva went to my respiratory ways and i want to cough but I could not because the hoses. It was terrible. I got so little air and during the operation and after it I felt me awfully. I could not note to anybody in anyway that I was not sleeping and I need extra anesthesia. That's way i prefer spinal anesthesia. But with it I had this problem that it didn't worked for me so quicly as it should and anesthesist should do me general. With spinal anesthesia I see and heard almost everything and this doesn't scare me. It's ok. And I feel no pain, too.

Offline JRXZ

  • MICROgeek (<20 posts)
  • *
  • Posts: 1
  • Liked: 0
  • User's Text
Re: anesthesia or spinal?
« Reply #25 on: December 25, 2003, 04:37:14 AM »
 I'VE HAD 2 ZIMMER PARTIAL KNEES SINCE SEPT 03. I RESEARCHED THE OPERATION AND CHOSE A ZIMMER  SUGGESTED DR.  I'M 4 WEEKS IN RECOVERY ON THE 2ND KNEE AND VERY PLEASED, W/ 132 ROTATION. I LOOSEN THEM UP IN THE MORNING, BUT LESS OF A PROBLEM EACH DAY. I'M SURPRISED MORE PEOPLE DON'T DISCUSS SELF CONTROLLED MORPHINE IV DRIP. IT WAS WONDERFUL, WAS SET UP WHEN I AWOKE. GUESS I DIDN'T KNOW THERE SHOULD BE PAIN. NO HIGHS, NO LOWS, NO SIDE EFFECTS. WENT HOME W/ PERCOSET AND USED IT AS NEEDED. I WOULD AWAKE AT 2:30 AM EA. MORN, IN PAIN,TAKE THE PILL AND 20 MIN. LATER WAS WITHOUT PAIN. NITES WERE THE HARD PART THOUGH. I FOUND DICLOFENAC, (NSAID) DID MUCH TO CONTROL INFLAMATION & SWELLING. I'M STILL WORKING ON QUAD STRENGTH FOR GOING DOWN STAIRS NORMALLY. I'M USING A CANE, MORE FOR SAFETY THAN NEED. I GREATLY FEAR A FLUKE WHERE MY KNEE WOULD FAIL AND DROP ME. THE DR DECIDED TO CLOSE MY SECOND INCISION W/ A SURGICAL TAPE; I HAD A REACTION TO THE TAPE, FOR 2 DAYS, (FLU ?) AND WAS IN MINOR SHOCK BY THE TIME I GOT TO EMERGENCY. 15 MIN. AFTER BEING IV"D FOR MORPHINE I FELT FINE. 2 MORE DAYS IN THE HOSPITAL.

Offline Clarkey

  • SuperKNEEgeek
  • *****
  • *
  • *
  • *
  • *
  • *
  • *
  • *
  • *
  • *
  • *
  • *
  • *
  • *
  • *
  • *
  • *
  • Posts: 4190
  • Liked: 77
  • Neil TheElephant knee packed up carrying his trunk
Tomorrow Re: anesthesia or spinal?
« Reply #26 on: December 29, 2003, 04:04:55 PM »
Hello Beth,

Just want to wish you luck tomorrow with your 1st every surgery. Hope your OS sorts your knee problems and can start 2004 not worrying anymore about your surgery. Understand that you are feeling scared and nervous right now as I am sure most Members would also be feeling this the day before surgery. So far I manged to get away from any type of surgery but might also have to face it, that I dreading, have a great new year, Nick :)
RK: PFPS, Arthrofibrosis, Tendinopathy, Five cortisone injections
16/01/18 Anterior interval release, distal patella excision, lateral meniscal repair
18/07/14 Anterior interval release  
16/11/09 Medial plica excision, fat pad trimming

Offline bethg79

  • MINIgeek (20-50 posts)
  • **
  • Posts: 23
  • Liked: 0
  • User's Text
Re: anesthesia or spinal?
« Reply #27 on: December 29, 2003, 07:22:19 PM »
Thanks Nick! I'm really glad that I found this site, both for the information and the support that we get here.

I just got my "arrival time" from the clinic - 10:45 tomorrow morning. Which means I'm gonna be REALLY FRIGGIN THIRSTY by the time I get there :~(

I'm not worried about the surgery as much as I am the pain afterword. I'm hoping that they give me something as strong as percoset.  I'm also worried that the recovery is going to take longer than the 3 days they told me...if it does, that means I'm going to have to take a leave of absence from my school, and I can't afford to lose my stipend right now.  Ok, and I'm a little afraid of going under a general anesthetic...seeing as I've never had one I think that's understandable.

Thanks again for your support Nick, and I hope that you can find a non-surgical route to fix your problem!

Beth
Gettin sick of limpin my way through life!

Offline surgeryXseven

  • MICROgeek (<20 posts)
  • *
  • Posts: 6
  • Liked: 1
  • User's Text
Re: anesthesia or spinal?
« Reply #28 on: February 27, 2004, 07:56:09 AM »
I like the spinal, unless you get really freaked out in the O.R.    I like being awake and hearing whats going on, plus it puts the docs and nurses on their best professional behaivor.   ::) I used to circulate in the OR as an RN, its just a little safer being awake.  I had numerous scopes, HTO, and a failed meniscus allograft (wrong meniscus sent, left leg instead of right), all awake.  They relax you pretty well, and you can get a first hand report of what things look like in there, real time, otherwise the guy see's you after doing 10 other cases that morning and can't remember your knee from the grandma's knee replacement in the other op room.
Get Third Opinion's, Watch Internet listings for Clinics and Docs. A Red Flag!  Docs high on search engine's are advertising $$!  Stay away from MBA's, you want a knee done right not your checkbook!!

Offline Beauzer

  • SuperKNEEgeek
  • *****
  • Posts: 855
  • Liked: 0
  • I want to become the person my dog thinks I am
Re: anesthesia or spinal?
« Reply #29 on: February 27, 2004, 05:16:08 PM »
I personally had a really bad spinal experience, which I won't share in detail (unless you really, REALLY want to know) except to say that I sure wouldn't do it again.

Danielle :)
32 - R knee gone to hell
lat. meniscus 94
ACL, chondroplasty 98
Chondroplasty 99
Screw fell out into joint, med. meniscus, microfracture 99
MCL/med. capsule recon, med. meniscus 00
Chondroplasty 04
Chrondroplasty 1/05
OATS 4/05 for OCD lesion
AVN, MFC fracture 10/05















support