Allgemeinanästhesie oder Periduralanästhesie für Kniegelenkersatz

Hi. Had PKR on right knee in October 2015 under general anaesthetic with an epidural and was very sick afterwards which I expected to happen. Due to have left knee replacement in two weeks time and even though I was sick I think I am going to have a general anaesthetic again as I really just want to to be put under and woke up after it is all finished.

Anyone got any comments on what anaesthetic they think is best and why. Prefer not to have any idea what is happening.

would like to say how wonderful this forum is and how much it helped me the first time round.

Hi Tracy

I always got sick after general anesthesia. Never had an epidural. When I had my tkr, I told them I always get sick. They said they would give me everything they could to prevent it, one thing was the patch, and I didn't get sick. The same thing when I had the manipulation. Never got sick. So just make sure you tell them.

Hi Tracy!

I was given a pill prior to heading into surgery to help with nausea following g the anesthesia. I had no nausea/ upset following my surgery. Maybe you could ask for the medication prior to your surgery.

I don't know the name of the medication.

I had general anaesthetic and was fine afterwards but I do know they gav me something to combat the sickness- I will try and find out what they gave me if possible

I would have a spinal or epidural. Much safer and better for recovery

I had both a general anaesthetic and an epidural. One minute I was in surgery and the next, I was back in my room, feeling great. Maybe the doctor can give you something to prevent you getting sick. Won't hurt to ask. It's bad enough to be in pain after surgery without adding being sick on top of it. Good luck with your upcoming TKR!!!

Yes I felt great also. I think you have to make sure they give you something for the sickness

Hi Tracy - I had a PKR in Nov 2015 and they were going to do an epidural and general but did a femoral nerve block instead on the leg being operated on and general. I was sick for at least a week after but I didn't have a lot of pain for the first couple of days until everything wore off. Good luck

Hi. Anything that would knock you out. Having been in the Anaethestic room before my op and listening to a joint replacement taking place in the theatre next door, ignorance is definitely the best policy on noise alone!! Speak to your Anaethestic Consultant pre op to discuss your concerns. There are drugs available to prevent sickness etc post op. I am the worlds worse for post op issues. Try and trust the professionals incl the nursing staff who will care for you after. Pre op prep is good as well. Healthy diet, rested and as relaxed as possible. Stress can certainly increase post op symptoms. Good luck.

Hi Tracey

I am 8 weeks post op and had a spinal , made sure I was out to it as soon as the block took effect

You are not aware of anything and with the spinal they are able to provide up to six hours post op pain relief and you sure can go with this!!! Still having much pain and anxiety but after reading some on the forum I feel it is part of the procedure

Good luck

I am nearly seven weeks post op and go through lots of different emotions from worrying about  damage to the prosthetic to wondering if its coming through my skin. 

I hate being aware of it and just want to get back to normal where Im not conscious of my knee and enjoy  a decent nights sleep again.

Will it ever happen??

Always always have the general. i wouldnt have anybody sticking needles in my spine. Things can go wrong and you are far safer with the general. You can always ask for them to give you something to combat the sickness.

i was also given a pill and had no sickness. I think you may have to ask for it.

I dont agree.

Hi Mary.  I couldn't believe how rough I felt after my PKR back in Oct 2015 and here I am ready to go through it all again.  It does get better. I'm now nearly 6 months post op and it is the best thing I ever did. The replacement knee is great can walk for miles on that one, good bend, no pain or sleepless nights unlike the left which I am having done next.

It is a roll coaster of a ride while we are recovering but I am sure that you will get there.  Thanks for taking the trouble to reply.

Regarding the anaesthetic I did let them know that I suffer from Sickness after as it has happened before.  I was giving medication before and afterwards and in the end after being so sick for most of the day I was givenan injection which helped.  Rather be sick than be aware to any degree of what is happening.

Wishing you a great recovery x

 

xx

Hi, I wouldnt agree that it is safer. All forms of anaethesia have associated risks. Ask anyone that has had an epidural during Childbirth. Drop in blood pressure, facial flushing, raised blood sugar levels, severe headaches which can last long after the epidural has worn off and the possibility of spinal nerve damage have got to all be taken into consideration. 

 

I had wanted a spinal for my TKR, but I'm not flexible, so it wasn't possible. I had a GA and it was impeccable. I've always been well with anaesthesia, which may be just luck, since the rest of my family are sickies. I wake cheerful and thirsty, craving for tea.

I'd certainly tell the anaesthetist in advance about previous problems. Any problems! They have many solutions and you might find something that really works for you.

Best wishes for your second op - hope you're really comfortable!

Initially I said i wanted a GA when I had my first TKR but I was persuaded by the anaesthetist that I could be made completely unaware while the surgery was carried out with an epidural. I am glad I did. I was completely out of it and when I came round I felt fine and had the added bonus of not being in pain because of the epidural. I was actually looking forward to my dinner which I ate with gusto! I didn't eat more than some cereal for the next six days. Last time I had a GA, like you I was very sick afterwards and very drousy. When I go in for the second TKR next month I will definitely go for the sedation/epidural again.

I had spinal and sedation for both my knees and was fine afterwards no groggy feeling had tea and something to eat as soon as i got back to the ward