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Your Anaesthetic Choices for Your Planned Hip or Knee Replacement Surgery at the RUH
Introduction
Undergoing hip or knee replacement surgery is a significant medical procedure, and understanding your anaesthetic options is crucial for a smooth experience and recovery. At the Royal United Hospitals (RUH) Bath, we prioritize patient comfort and safety, offering several anaesthetic choices tailored to your needs. This guide provides an overview of the available options for patients in the United Kingdom.
General Anaesthesia
General anaesthesia involves rendering the patient completely unconscious during the surgery. This option is suited for those who prefer not to be aware of the procedure. The anaesthesia team will administer a combination of intravenous medications and gases to ensure you sleep through the surgery without feeling pain. Vital signs are closely monitored to maintain your safety throughout the procedure.
Regional Anaesthesia
Regional anaesthesia numbs a specific part of the body while keeping you awake but relaxed during the surgery. This method includes spinal blocks, epidural blocks, and peripheral nerve blocks, commonly used for hip and knee replacements. These techniques are effective in reducing post-operative pain and often have fewer side effects compared to general anaesthesia. Patients may choose this option if they prefer to avoid the grogginess associated with general anaesthetics.
Sedation
For those who opt for regional anaesthesia but prefer to be less aware of the surgery, sedation can be administered. This involves giving medications that make you drowsy and relaxed, though you will not be fully unconscious. Sedation can provide a balance by keeping surgery stress-free without the depth of general anaesthesia.
Discussion with Your Anaesthetist
Every patient at the RUH will have a pre-operative assessment where you can discuss your anaesthetic options in detail with an anaesthetist. This is an excellent opportunity to express any concerns, medical history, or preferences you may have. They will guide you in making an informed decision, considering factors such as your overall health, pain management needs, and personal comfort levels.
Conclusion
Choosing the right anaesthetic for your hip or knee replacement surgery at the RUH is essential for your comfort and recovery. Whether you prefer to be completely unconscious or awake but pain-free, the anaesthesia team is dedicated to providing the best care tailored to your needs. Understanding your options can help ease anxiety and prepare you for a successful surgery and a smoother post-operative experience.
Frequently Asked Questions
What type of anaesthesia will I receive for my hip or knee replacement surgery?
You will likely receive either a general anaesthetic (where you are fully asleep) or a regional anaesthetic (such as a spinal or epidural) where you are awake but numb from the waist down.
Which anaesthetic is safer for hip or knee replacement surgery?
Both general and regional anaesthetics are considered safe. However, the choice depends on various factors including your health, the type of surgery, and your personal preferences.
Will I have a choice in the type of anaesthesia I receive?
Yes, your anaesthetist will discuss the options with you and help you make an informed decision based on your health and the specifics of your surgery.
Can I eat or drink before my surgery?
You will be given specific instructions, but generally you should not eat anything for 6 hours before surgery. You may be allowed to drink clear fluids up to 2 hours before the procedure.
What is the difference between a spinal anaesthetic and an epidural?
A spinal anaesthetic involves injecting medication directly into the cerebrospinal fluid, providing numbness and pain relief. An epidural involves placing a catheter in the epidural space outside the spinal fluid, allowing continuous pain relief.
Will I be awake during the surgery if I choose regional anaesthesia?
Yes, you will be awake but you will not feel pain in the surgical area. You may also be given sedatives to help you relax.
How long does the anaesthetic last?
General anaesthesia wears off shortly after the surgery is completed. Regional anaesthesia can last several hours, providing pain relief during and after the surgery.
What are the side effects and risks associated with general anaesthesia?
Common side effects include nausea, sore throat, and dizziness. Serious risks are rare but can include allergic reactions, breathing problems, and complications related to pre-existing conditions.
What are the side effects and risks associated with regional anaesthesia?
Common side effects include headache and back soreness. Serious risks are rare but can include bleeding, infection, and nerve damage.
Will I experience pain during or after the surgery?
You should not feel pain during the surgery. Post-operative pain will be managed with medications, and regional anaesthesia can provide extended pain relief.
How soon can I go home after surgery?
Most patients can go home within a few days of their hip or knee replacement surgery, depending on their recovery and mobility.
What should I do if I have concerns or questions about my anaesthesia?
You should discuss any concerns or questions with your anaesthetist during your pre-operative assessment.
Can I have anaesthesia if I have a cold or the flu?
It depends on the severity of your symptoms. Mild symptoms may not be an issue, but it’s essential to inform your surgical team if you are unwell.
Will I need to stop taking my medications before surgery?
You will be given specific instructions about medications. Some may need to be stopped, while others should be continued. Always follow the guidance provided by your healthcare team.
How can I prepare for my surgery and anaesthesia?
Follow all pre-operative instructions, stay hydrated, avoid smoking and alcohol, and ensure you have a support system in place for your recovery period.
Useful Links
Useful links from: Hip replacement
- NHS - Hip Replacement Comprehensive guide from the NHS covering hip replacement surgery, including when it's needed, how it's performed, risks, recovery, and aftercare.
- Arthritis Research UK - Hip Replacement Information from Versus Arthritis on hip replacement surgery, why it’s needed, what to expect during the procedure, and recovery tips.
- British Hip Society Patient information on hip replacement and other hip-related surgical procedures, provided by the British Hip Society.
- Age UK - Hip Replacement Advice and support from Age UK for older adults considering or recovering from hip replacement surgery, including fitness tips and well-being advice.
Useful links from: Total hip replacement
- NHS - Hip replacement Comprehensive guide on hip replacement procedures, reasons for the surgery, preparation, recovery, and risks, provided by the NHS.
- Versus Arthritis - Hip replacement surgery Detailed information on hip replacement surgery, including when it might be needed and what to expect, from the UK's leading arthritis charity.
- Arthritis Action - Hip Surgery Insight into hip surgery for arthritis sufferers, covering preparation, surgery details, and recovery, provided by Arthritis Action.
- Nuffield Health - Hip replacement surgery Information on hip replacement surgery including what happens during the procedure and the benefits, provided by Nuffield Health, a UK healthcare charity.
Useful links from: A journey to hip surgery
- NHS - Hip Replacement The official NHS page providing comprehensive information about hip replacement surgery, including reasons for the procedure, how it is performed, recovery tips, and potential risks.
- Versus Arthritis Versus Arthritis offers detailed information on hip replacement surgery, including the procedure, preparation, recovery, and personal stories. It also covers how the surgery can help with arthritis pain and mobility.
- Arthritis Action - Hip Surgery Arthritis Action provides insights and advice on hip replacement surgery, covering how to prepare for the operation, what to expect during recovery, and post-surgery care to manage arthritis.
- Age UK - Hip Replacement Surgery Age UK offers a guide on hip replacement surgery specifically tailored for older adults, including what to consider before surgery, recovery tips, and how to manage daily activities post-surgery.
Useful links from: Having a hip replacement - Part Two: Recovery
- NHS: Recovering from hip replacement surgery This NHS page provides detailed information on what to expect and how to manage recovery after hip replacement surgery, including advice on mobility, pain management, and resuming daily activities.
- Versus Arthritis: Hip Replacement - Recovery Versus Arthritis offers guidance on recovering from hip replacement surgery, covering physiotherapy, exercises, and lifestyle adjustments to help with recovery.
- Royal College of Surgeons: Recovery from hip replacement surgery The Royal College of Surgeons provides a detailed guide on recovering from hip replacement surgery, including tips on managing pain, expected milestones, and precautions.
- Age UK: Hip Replacement Recovery Advice Age UK's guide covers recovery from hip replacement surgery for older adults, offering tips on physiotherapy, home adaptations, and managing daily life during the recovery period.
Useful links from: Total hip replacement at Northumbria Healthcare
- Northumbria Healthcare NHS Foundation Trust Find comprehensive information about hip replacement services, patient resources, and recovery information provided by Northumbria Healthcare NHS Foundation Trust.
- NHS - Hip Replacement The official NHS page detailing hip replacement surgery, including indications, how it is performed, recovery, and risks involved.
- Versus Arthritis - Hip Replacement Versus Arthritis offers detailed insights into hip replacement surgery, preparation, post-operative care, and patient stories.
- Age UK - Hip Replacement Age UK provides advice and information on hip replacement surgery, especially tailored for older adults, covering pre-surgery preparation and recovery tips.
Useful links from: Total Hip Replacement
- NHS - Total Hip Replacement The NHS official page on hip replacement, covering information about the procedure, risks, recovery, and alternatives.
- Versus Arthritis - Hip Replacement Surgery Versus Arthritis provides an in-depth guide on hip replacement surgery, including what to expect before, during, and after the operation.
- Arthritis Action - Total Hip Replacement Arthritis Action offers detailed advice and support on living with arthritis, including information on hip replacement surgery.
- The British Hip Society - Patient Information The British Hip Society provides resources and information for patients undergoing hip replacement surgery, including FAQs and recovery tips.
Useful links from: Hip replacement - getting into bed
- NHS - Getting in and out of bed after hip replacement Guidance from the NHS on how to safely get in and out of bed following a hip replacement, including useful techniques and tips.
- Versus Arthritis - Hip Replacement Surgery Versus Arthritis provides comprehensive information on hip replacement surgery, including recovery tips and how to manage daily activities like getting into bed.
- Age UK - Hip replacement recovery guide Age UK's guide offers detailed advice on recovering from a hip replacement, including practical tips for getting in and out of bed, and adjusting to home life post-surgery.
- NHS Inform - Recovering from hip replacement surgery NHS Inform provides detailed information on the recovery process after hip replacement surgery, including advice on getting in and out of bed and other mobility tips.
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