Let me try to expand on the answer I gave you previously. I hope this addresses your concerns more completely
Several factors must be considered when selecting anesthesia, including:
1. Your past experiences and preferences. Have you ever had anesthesia before? What kind? Did you have a reaction to the anesthesia? What happened? How do other members of your family react to anesthesia?
2. Your current health and physical condition. Do you smoke? Are you overweight? Do you drink or use recreational drugs? Are you being treated for any condition other than your joint replacement?
3. Your reactions to medications. Do you have any allergies? Have you ever experienced bad side effects from a drug? Which drug? What were the side effects? What medications, nutritional supplements, vitamins, or herbal remedies are you currently taking?
4. The risks involved. Risks vary, depending on your health and selection of anesthesia, but may include breathing difficulties, blood loss, and allergic reactions. Your surgeon and anesthesiologist will discuss specific risks with you.
5. The skill and preferences of your surgical team
Regional anesthesia involves numbing a specific area of the body, without affecting your brain or breathing. Because you remain conscious, you will be given sedatives to relax you and put you in a light sleep. For knee surgery , a combination block that targets the lumbar plexus and the sciatic nerve can numb only one leg. The differnce between epidural and spinal anesthesia is not the level, both can be given at the same level, but in the depth of penetration, and the method of delivery for the anesthetic.
In a spinal block, the anesthesia is injected into the fluid surrounding the spinal cord in the lower part of your back. This produces a rapid numbing effect that can last for hours, depending on the drug used.
An epidural block uses a small tube (catheter) inserted in your lower back to deliver large quantities of local anesthetics over a longer time period. The epidural block and the spinal block are administered in a very similar location; however, the epidural catheter is placed slightly closer to the skin and farther from the spinal cord.
Side effects from regional anesthesia include headaches, trouble urinating, and allergic reactions, which could be quite serious. Permanent, complete paralysis is a rare, if not unheard of, complication.
In knee replacement surgery specifically, there are several advantages to using a regional anesthesia rather than general anesthesia. Studies have shown that there is less blood loss during the surgery, and fewer complications from blood clotting afterwards.
If an epidural block was used during your surgery, the epidural catheter can be left in place and anesthesia continued afterwards to help control pain. You will also have control over the amount of pain medication you receive, within preset limits. This allows for effective pain releif, while maintaining a clear head.
Copyright 1994-2017MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.