Spinal Injected Into Spine By Anesthesiologist Before Total Knee Replacement Surgery
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- čas přidán 11. 09. 2024
- Caution this video is graphic.
In this episode the surgeons discuss spinal and epidural anesthetics with an anesthesiologist. A spinal anesthetic is demonstrated on a patient. We sincerely thank the patient for her consent to show this video. Risks and benefits are reviewed.
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Retired anesthesiologist here. This was a superb presentation. Thanks Dr. Krisha, and surgeons too!
Thanks so much for the feedback Dr Robinson! Stay safe. Thanks for watching, subscribing and sharing it if you did.
I.had 2 hips replaced at Jewish General Montreal and all the precautions with plastic etc was not done. I have a popping hip and what causes that ?
@@byrutesyvret890 jjlll
Lllojl,
Hey Scott! I’m 21 and I have had a pretty serious hand injury but have about 60-70% of my hand with some arthritis but could I still become a Anesthesiologist
@@JBK-w5u i doubt it man...i think its good if you considered other specialities
tried this at home, worked a treat, tutorial was easy to follow. thanks
That’s funny joey. Thanks for watching and subscribing if you did
LOL
ha ha
lmao!!
Instructions weren't clear. Can't feel my legs for a week. What am i doing wrong?
Don’t worry folks. Anesthesiologists understand pain and that is why they are there, to manage it. Have complete trust in your anesthesiologist. Your surgeon picks the best of the best for their patients. I have had so many surgeries over the years and nothing but good luck with my surgeons and their teams. This is why they spend countless hours training and learning. And usually each year they go back to learn updated procedures. These are your heroes folks :O)
Wow thank you so much FATHER GUIDOSARDUCHI for your very kind words. Thank you for taking the time to share our positive experience. All the best. Thanks for watching, subscribing and sharing with someone if you did.
Interesting to watch this procedure, as I had a spinal twice with my two hip replacements which were done three months apart. This procedures is painless folks. The pinch you feel when the numbing needle goes in is very minimal and it starts freezing immediately, so you are numb right away. I did feel the slight pressure when the anesthesia needle went in, but it's totally tolerable and there's no pain, just a little pressure. When the spinal was completed, I was given Propofol and had a nice nap. I was totally out for the surgery and woke up post surgery, having no pain and completely cognizant and sharp. Modern medicine is amazing. Thank you, anesthesiologists and orthopedic surgeons. I have my life back.
I had a TKR by Dr Zalzal and this anesthesiologist. There was no pain. I don't even remember anything. All I remember is waking up with my knee done. No pain. Well done guys.
Hi Peter. That is so great to hear. We are obviously very glad that things went well. And thanks for watching.
Why did my Hair fall out a few months after surgery? I wasn't told of this
Yes its wonderful . I had my TKR by Epidural , you cant beat it . All i remember was the surgeon firing the staples then I drifted to sleep . Its wonderful what can be done
@@vickiserre9457 did u get another disease by coincidence near the same time? what did your family doctor find?
@@BillSW No, I didn’t get another disease or sickness following my knee surgery. I did need to have a Total Hip replacement 11weeks after the Knee Replacement. My Hip was the worst Pain if all I have ever had!! As of 9/20/21, a year after Knee surgery it feels almost 90% normal. Almost 9 months following Hip replacement, I’m still in a some Pain.
Thanks
I'm in the UK and I'm having a TKR in 2 weeks time. Your videos have been an immense help to me and I love the way you two interact and bring in a bit of humour from time to time. Your video with physiotherapist Megan was particularly useful and I'm doing the exercises she described - she explained it so clearly. I was a bit unsure about watching this anaesthesia video as I'm a bit squeamish about needles but I did watch it all and I now feel more comfortable about it as I had no real idea of how it was performed. Thanks guys.
Very welcome Reginald. Hope your surgery goes well. Glad we could help in any small way. Thanks for watching and subscribing if you did.
Doctor's deserve the world, but also more money than ANY athlete to ever exist! These are the real hero's and I make sure to tell every Doctor my thoughts whenever I see them.
That is very kind Angry Empath. All the best to you. Thanks for watching, subscribing and sharing with someone if you did.
I had spinal block this week for an operation. I did not even feel the needle go in. Amazing to see and talk through the operation. I had no headache either x
Hi Gerry. Very cool. So glad it went well for you. Thanks for watching, subscribing and sharing with someone if you did.
I had this for a recent hip replacement. It was far better then the old methods. When I came out of the anaesthesia it was. Better then my typical morning waking. I had no pain and was relatively feeling normal very quickly. I did have a very interesting sensation of hearing the sound of high speed saw and felt a little thumping like I was under construction. The strange thing was that I had no stress and momentarily went back to sleep until I woke in the recovery room.
That is awesome Hilton. So happy for you. Thanks for watching, subscribing and sharing with someone if you did.
Wow!! Folks have no idea how blessed they are to have great MD's like you all. Great channel! First time seeing, now subscribed.
Thank you so much for your kind words and for subscribing!
Working as an OR nurse in Finland, it is fascinating to me to see how it is done in other countries. the biggest differences between my place of employment and this video is that we never inject Lidocaine before a spinal and our patients are laying on their side in a kinda fetal position (round back like an angry cat to open the spaces up is how we describe it to patients). so very interesting and informative video, thanks!
Very welcome miikaelas. So we sometimes do spinals on the side for things like hip fractures but not elective total hips and knees. With respect to the lidocaine. the anesthetists in Finland just put the spinal needle in without any freezing? Thanks for watching, subscribing and sharing with someone if you did.
I had 2 total knee replacements with nerve blocks as described here and the pain relief was awesome. And it was not painful being administered. No reason to fear this.
Thanks for sharing Claudia
This series on TKR is outstanding. So many of my questions were answered and some fears alleviated! Keep it up!
Hi Dave. So glad we could help on your journey. Best of luck to you going forward. Thanks for watching and subscribing if you did.
I had a left TKA 9 months ago. I chose to have a spinal anesthetic without sedation. I was totally awake. It was interesting because I could feel my leg being moved and could feel vibrations from the saw and drill but had no pain. I have to tell you that I am a retired operating room RN. I participated in joint replacement surgery for years.
Had total knee done. Told them there was no way I was going under.
I tried to have one for my ACL surgery because I wanted to watch the procedure on the monitor. Two minutes in, I started dry heaving and retching: then “BAM!” on went the gas mask and I woke up when the final stitches were going in.
It was the post surgery rehab that was @#$*ing agonizing!! The tiny 5-foot PT that visited me the following day was built like King Kong and flung me around like a rag doll (or so it felt....)
@@gh4121-b5n So did you have the surgery with nothing?
🙌🏻🙌🏻🙌🏻
If they would let me watch on a video monitor, maybe I’d choose to stay awake.
3 weeks ago I had a spinal for my hip replacement operation in the UK. I was concerned about being awake but the sedative sent me to sleep for most of the op and I felt nothing except a falling sensation as my lower body went numb. Watching the video now I can appreciate this procedure and I recommend it to anyone out there. I could not have watched the video before my op as I don't like needles, but really it doesn't hurt at all. What I do remember is the sterile solution put on my skin before the injection was very cold and for some reason it made me laugh.
Glad you get it now Jane! Thanks for watching and subscribing
That was awesome! I am 6 weeks post op from a TKR and I dont remember any of the spinal..the relaxing meds in my IV took care of me until I woke up in recovery!
Very sneaky.. lol
I'm glad there are people out there that love taking care of us and you three clearly do!
Yes we do Kimberly! Glad you liked the video and that you are well on your way to recovery. All the best. Thanks for watching, subscribing and sharing with someone if you did.
I dont remember either,all I recall is no feeling in my lower half and being in LaLa land
Had both knees done no spinal and or drugs stayed overnight in hospial went home next day with 40 staples. I am doing great left knee 9 yrs / right knee 6 yrs.
I am having a total knee replacement in less than two weeks. I have watched all of your videos on this, and because of you fine Docs, I feel that I am good to go!! Thanks much.
You are very welcome Eric. Good luck to you and keep us posted. Thanks for watching
Great video! I had my knee replaced in 2012 and had issues with scar tissue afterwards which effected my range of motion. My surgeon was suggesting manipulation (under anesthesia) if it didn't improve. I didn't want more surgery as my insurance changed and not for the better!
I had always liked riding my bike before my surgery as it wasn't weight-bearing. I had bought a trainer for my bike to use inside during the winter months as I live in Chicago. So after my doctor appointment I decided to try riding the bike. To attempt this I would take a norco, wait about 20 minutes for it to kick in (I had NO issues with balance or impairment while taking Norco) and slowly using little resistance from the bike gears - loosened up the muscles and scar tissue! I rode 359 miles that first year after my TKR! When I had my one year post op check my doctor was thrilled with my progress as I had no range of motion/scar tissues left at all!
I would suggest that the doc's add a couple of suggestions to their list: I've never had any gastrointestinal issues whatsoever but the pain killers stop all the normal intestinal movement that can lead to SEVERE constipation! When I had my rotator cuff repaired (1.5 years before my knee at a different teaching hospital) the doctor prescribed a stool softener which I took postop as recommended. My TKR orthopedic surgeon didn't have this as part of my postop care package......which led to the level of pain that made the knee replacement seem like a walk in the park!! Please make this part of your video as the consequence of overlooking a major side effect of using painkillers is huge!
2) I rearranged all my furniture the day before my surgery to make it easier to live postop with crutches! Please remove any throw rugs, and widen narrow pathways that you don't even think twice about when you're 2 legged vs 1 legged & 2 crutches!
I kept a list in my phone of exactly WHAT TIME AND QUANTITY of pain meds I was taking! It's very easy to lose track of when you took your last pain med when you are hurting. My family has a history of alcoholism so I was extremely concerned so by using the list method I could actually see when it was too soon to take another Norco. I finally realized that instead of taking a pain med every 4-6 hours and waiting for the pain to come back full force- I was better off cutting the dose in 1/2 and taking it every 2-3 hours thereby always having a small dose in my system. I don't know if this makes sense or even approved by a pharmacist but it worked for me. My pain was totally under control as my medication level never hit ZERO! ZERO is when you may think the pain will never go away so you may take more then you need. I did the 1/2 dose method the first 2 weeks and then tapered off.
I used a physical therapy company (ATI) that had the great benefit of FREE transportation services! They have regular drivers with easy access vans to drive you to and from therapy. This is great if you live alone or it can free your family up from this responsibility especially getting you in and out of a car safely! Their drivers are trained on getting you in/ out of your house without a hassle!
Good luck to anyone having their knee replaced! You probably don't realize just how much pain you are suffering with!!
Good info, good video, and great presentation via all 3 doctors! It's cool and helpful to see what you and the nurses all do. Makes me more comfortable being treated.
Hi kevin. That is the goal. So glad you liked it. Thanks for watching, subscribing and sharing with someone if you did.
I had this when I had a total hip replacement. It worked very well. It takes effect extremely quickly. Much better afterward than the general anesthesia I had with a previous surgery. Whatever sedation they gave me was the best sleep I have had in years.
Hi Sue. Even a good one hour nap is worthwhile every now and then! Thanks for watching, subscribing and sharing with someone if you did
This reminds me from when I had a anterior and posterior lumber spinal fusion back in 2000, I woke up in intensive care thinking I was in heaven as there was this angel looking over me in the form of a nurse, to let me know that everything went ok and the surgeon had decided to do a block while I was under to make me more comfortable during recovery. I’ve never felt anything so weird but was so glad to get all feeling back when it eventually wore off.
Hi Jonathan. Yes many patients say that it feels weird and understandably makes them a bit nervous when you can't move your legs. Glad to hear it went well. Thanks for watching, subscribing and sharing with someone if you did.
I had total knee replacement 6 months ago. I was TERRIFIED at the thought of a spinal. The surgical staff was amazing. My anesthetist explained every step. I have tattoos on my lower back so it took a couple of tries to find the right spot but it was so easy. Pain relief and post op were a breeze vs having a general.
Hi pam. So glad things went well for you. You are well on your way at 6 months. Best of luck going forward. Thanks for sharing you story. Thanks for watching and subscribing if you did.
I agree.. I was concerned about having a general , so had spinal and sedation and felt a lot better, than when I had a general last time. Was very lucid throughout procedure but unconcerned by what was happening and talking to people in theatre.. I back up on my feet within 20 minuts of being returned to the ward
@@thesleepstate Must be different to mine, i was paralised from the waist down for almost four hours after surgery.
@@wolvoman1 Hmm... I can't account for the difference in timing. I mean, I was completely 100% paralysed waist down on the way into theatre I know that. Perhaps they gave me a less long acting anesthesia, because they had a good idea of the duration of my op (about 30 mins).. yours might have been more variable or have potential to change and they had to allow for that?
I love you guys! You make so much sense. Love the humor! Don't go away. I had arthroscopy knee surgery five years ago but can see a knee replacement in the near future. So I am watching everything you do and say. Thanks! Not so worried since I found you guys!
Yay Marj! You are too kind. Glad we can be along for the ride. Thanks for watching, subscribing and sharing with someone if you did.
i'll have my arthroscopy on sunday and i chose SA over GA when the anesthesiologist gave me the options. keep safe!
I want to thank you guys for your videos, I am going in Friday March 4 2022 for a bi lateral double knee replacement. The videos help to take the edge off my fears.
Hi Dave. So glad that we could help. Best of luck next Friday! Thanks for watching and subscribing
How did your surgery go? And if you regret doing both knees at the same time?
@@kathiestacey5253 Surgery went awesome, both knees were done in less than 2hrs, recovery was incredible, I was climbing stairs in 2 weeks. I would totally recommend bi lateral .
Excellent thanks for sharing this. I’m getting this 2 weeks and was concerned but this makes me feel a lot more confident about the procedure.
Hi 7000bass. So glad we could help alleviate an of your fears. We use this 99% of the time and feel strongly that this is part of the best anesthetic approach. Best of luck to you in 2 weeks. Thanks for watching and for subscribing if you did.
Yes, a big thank you to that patient! I hope she is now on the road to recovery! Interesting and informative video!
Hi Chryseas S. You are very welcome. Glad you enjoyed the video.
So interesting and helpful to see, even though I had to take some deep breaths during it! 🤦♀️ When I heard Dr. Krishna use the term "freezing," I automatically think of as cold temperature, which itself is aversive to me, so for some people the term "numbing" might be an alternative. I know, it's just semantics, but since the OR and postop are always "freezing," Please give me numbing instead, LOL!
@@Deba7777 the term ‘block’ was used during my surgeries of total hip then shattered femur. Hearing ‘spinal anesthesia’ made me queasy when I watched this. Interesting personal reaction to the same thing. I guess ‘block’ disguises the reality.
Hi…I finally had my TKR yay lol. After watching this presentation I decided to go for a spinal anaesthesia. I’m so glad I did too. The injection in the back was what I feared most but it really was nothing…I hardly felt it. During the surgery I had sedation too and it worked brilliantly. I occasionally heard “noises” but I was so relaxed and pain free it really didn’t register with me…I think I must have fell asleep actually as the next thing I know I’m in the recovery room feeling great. Thanks Docs and especially Dr Krishna for helping me make a great decision 👍🇬🇧
You are very welcome Alan. Glad it went so well. Thanks for watching and subscribing if you did
This is a great reassuring video. I had my first TKR last September and will have my 2nd one this summer. My doctors were amazing just like you guys.
Glad to hear it Claudia. So glad we could help. Thanks for watching, subscribing and sharing if you did.
I had one of these spinal anaesthetics for an emergency circumcision in my local hospital in France. Stayed for the night and had the job the next day. A jab and ten minutes later all finished. Brilliant.
Hi ichabodon. So glad to hear about the success of your emergency circumcision. Thanks for telling your story. Thanks for watching, subscribing and sharing with someone if you did
Mine was done with a general anesthesia
I can't believe I started out undergrad as premed....many moons ago. I was fresh out of HS and also became a paramedic in my hometown. I was GUNG-HO DR MEDICINE...watch out, HERE I COME!! My grades were great, but one day when I had to do CPR on a 5 year old girl who had fallen under the ice (January-ish), that is when the real hard questions began in my head. 4.5 years later = EE. Watching this video....NO regrets at all!! Cheers and hats off to those who kept going and are as essential to human life as is food! RESPECT!!
Hi Thom. That is a very sad story about the 5 year old girl. Thanks for doing the work that you do. Thanks for watching, subscribing and sharing if you did.
@@mikentosh - Electrical Engineering. A common broad title which ultimately includes many different specific electrical/electronic disciplines.
@@thomthumbe a former EE turned neurosurgeon fixed my mother in law’s back 6 years ago: it was follow up surgery to fix her back where she had broken it 35 years ago. Today she’s still active in her mid-80’s, walks a little like Quasimodo but is pain free and happy!
I am having TKR in 4 weeks and found all of your videos vrry informative. Thanks for sharing such important and accurate info!
Hi Tommy and Becky Moore. You are very welcome. So glad we could help with the preparation for your big day. Good luck and thanks so much for watching.
I had a knee replacement at Loma Linda Veterans hospital and it was a snap. The surgeons were great and did a great job. The rehabilitation afterwards was the toughest part.
Knee rehab is way more difficult than hip rehab.
We totally agree Jerry. Glad you are done the surgery. Best of luck with rehab. Thanks for watching, subscribing and sharing with someone if you did.
We agree Christopher. Knees are way harder than hips. Thanks for watching, subscribing and sharing with someone if you did.
@@christopherwhitelaw1197 don’t know about the hip rehab but I cussed the air blue every time I went for my knee rehab! (Also cried for my Mommy a few times too....)
Yes, what an opportunity to have this level of information available! You two ROCK! And the humor is priceless. Thanks. ❤
I had this done in November, it is wonderful. Do not be afraid of the spinal block. It is most welcomed
Thanks for sharing your experience Deborah. Thanks for watching and subscribing if you did.
I had to have a spinal anesthetic because my son had to be an emergency forceps delivery after 37 hours of labor because he was in distress. My back still hurts right where they injected me, even almost 8 months later. I also had a spinal headache for the first three months after delivery. I don’t regret it though because ultimately my baby son is healthy and safe, ma shah Allah.
Thank you for sharing Iman. Thanks for watching, subscribing and sharing with someone if you did.
I was terrified of this part, but I had a nurse that said he would not leave my side until I was out, and he did not. Stayed by my side along with the anesthesiologist. Never felt the nerve block in the leg, sat on the table as this lady did, a cold spray and I woke up with my TKR completed. Whenever I went back to the hospital I made it a point to stop and thank him for his excellent care he gave me. This was Hillcrest Hospital near Cleveland. It is a Cleveland Clinic Hospital.
Thanks for telling your story Mike. Sounds like you had very good care. Thanks for watching and subscribing if you did
I’ve had this type of anesthesia 4 times (2 total hips, 1 total knee replacement). Never felt a thing, and it keeps from having so much regular anesthesia. You wake up much easier. Thank goodness for great anesthesiologist and orthopedic surgeons.
And thank you Susie Graham! Thanks for watching, subscribing and sharing with someone if you did.
Thank You for explaining this procedure for which I will be having for my upcoming knee replacement!
You are very welcome Elaine. Best of luck to you. Thanks for watching.
Hi guys, Recently had this spinal anasthetic for my prostrate operation at the Huddersfield royal infirmary UK, I chose not to have any sedation ,I had a great consultant , i was awake throughout the operation, I could talk & interact with all the theatre staff, listen to my radio, throughout, & after the operation, I had my evening meal, after the procedure,I felt great, & absolutely no after effects at all, i cannot thank all of the staff & advice enough, feeling positive, brilliant
Sounds awesome Cw. Thanks for watching and subscribing
I can say beyond a shadow of a doubt for me it was the most painful thing about my surgery; I had my knee replacement in the United Kingdom in 2017, and after about 10 attempts of getting the anaesthetic into my spine and my legs flying all over the place because my nerves kept getting it I told the Dr performing the anaesthetic to stop. I was going home, he persuaded me to have one more try and at that point, he must have hit the spot.
I thought I was being used as a pincushion because it was absolutely horrendous the number of times he pushed the needle into my back, I have to go through all this procedure again for my left leg, and I am not looking forward to it
Sorry to hear that David. Hope second time is a charm! Thanks for watching, subscribing and sharing with someone if you did.
I had a spinal anesthetic for both of my hip replacements, and have NO RECOLLECTION of any of these procedures in order to inject into the spine. After surgery I was pretty alert and had no problems walking day of, no nausea, etc. Would highly recommend this, as it is far better than the effects of a general from my experience.
Thanks for sharing
Thanks doctors. I’m scheduled for this anesthetic and a hip replacement. You build my confidence that I will have a good experience.
Hi Ellenray. So glad we can help. Best of luck to you. Thanks for watching, subscribing and sharing if you did.
One addition here…I had a TKR three months ago, and bc of the arthritis in my back, it took the nurses and anesthesiologist a long time to find an entry place. It took so long that I was passing out and trying to ask for oxygen before they realized I was in trouble. They took several tries to find a space that would allow the insertion. That said, I have another knee replacement ahead, and I will have the same procedure. But this time I can alert the team of the situation with my back. Remember this if you have back issues.
Good call Sheila. Thanks for sharing. Thanks for watching and subscribing if you did
Im loving my new knee my surgery went very well and I can now take steps without my walker.
Yaaaaaay House scrapper! So glad you are doing so well. Continued good luck. Thanks for watching and subscribing if you did.
I had bilateral femoral osteotomies and the anesthesiologist did the spinal after I was sedated, so glad he did! But this is a very informative video.
Hi Joan. Wow that is a lot of surgery. Yes, often they will give some medication to relax patients. You typically need to be somewhat awake unless the spinal is done on your side which can also be done. Thanks for sharing your experience.
I chose the spinal anesthetic for my knee arthroscopy last December, it's interesting to see it from a different angle. I'm glad I chose that over the general anesthesia, no side effect besides shivering a little bit in the PACU. So for those like me who are scared of being sick, this is without a doubt the best option.
Thank you Gucci Boy for sharing your positive experience. Thanks for watching, subscribing and sharing with someone if you did.
That was very helpful.. I am an RN as well. I plan on having to have a TKR done and want to have a spinal anesthetic . So happy when I was told by my surgeon this was indeed possible. Your video was very much appreciated. Thank you.
You are very welcome Charlene. Best of luck to you with your upcoming surgery! Thanks for watching and subscribing if you did.
Good luck with your pregnancy, Dr Zalzal! Honestly, a very good, fact-based video that would be helpful for anyone who wants to know more about spinal anesthesia.
Thanks Dr Didyk.
I've watched several of your videos and you have eased many of my concerns about knee replacement! I give blood at the Red Cross near me regularly so I don't have any concerns about needles but this filled in some blanks for me. Thanks! I am scheduled for a single knee replacement in early September.
That’s awesome. Glad we could help. Best of luck!
as always, I love your vids. I had my left knee replaced back in August and had the spinal anesthesia and sedation done as well. the spinal deal felt like a bee sting.. but whoa I had no idea the needle was so long. also while sedated I must have not been totally out of it because I totally remember feeling them moving my knee joint in & out over and over to make sure the alignment was correct. and when I came out of sedation at the end of surgery I wasn't out of it at all.. it was like I just woke up from a nap. good times!
Hi pecan the cat. Thanks for sharing your personal experience. Sounds like everything went well. Continued good luck in your recovery. And thanks for watching.
Glad it went well. I read someone say the doctor asked her what it sounded like and she said it sounded like construction.
I've had three of these. All went like that.
@@scottrobinson2678 I will be having my new knee in a couple of weeks. I think I will die with the shock of it all I'm terrified
going for my fourth CS this weekend, and this is always my most scaring part...I saw the epidural-needle and it scared me like nothing else. Am always worried when i think of the anesthesia procedure than the CS it'sself. But you docs makes it look so simple n somewhat consoling. Thanks TWD team.
Very welcome Ariella and best of luck this weekend!! Thanks for watching and subscribing
Had a spinal for a total left hip, can’t beat it. Sat on the gurney as shown here, laid down after that, “a little something to help you relax” next thing I know waking up in recovery, all done.
Don't you have to take painkillers for the rest of your life if you replace your hip?
Hi Big Jim and L. Glad it was easy for you Big Jim L, you would likely only need pain killers for 4-6 weeks after surgery. The purpose is to get rid of your pain! Thanks for watching, subscribing and sharing with someone if you did
Thank you for this informative Spinal Anesthetic video. It has put my mind at ease for a possible near future total knee replacement.
Great to hear Rosa! Thanks for watching and subscribing if you did
I was paralyzed for 7 days ended up in a care center for 20 days! Worked my butt off to be able to walk again!
Hi Susan. That is very rare to be paralyzed for 7 days. So glad you were able to persevere and get better. All the best to you! Thanks for watching and subscribing if you did.
What went wrong? if it was 7 days was probably a haematoma, its important to remember that we routinely check bleeding disorders before a spinal for exactly this reason. Unfortunately you were the 1 in 10,000.
Yer 1 in 10000 , the odds of being paralysed is better then winning Lotto . Doctors don’t tell you this but it happens often .
@@johnpaun9439 Welll that really sucks
I have anesthesia issues!!!
I am terrified of anything to do with the spinal column. I am a retired critical RN and have had 3 knee surgeries and may have to have another. Watching this...it's not so scary. Thank you doctors!
You are very welcome Donna! Thanks for your service. Thanks for watching and subscribing
Thank you!! I am waiting for 2 knee replacements and am terrified of having the spinal anaesthetic -- I feel much easier now. Have subscribed.
Glad we can reduce the anxiety! Thanks for watching, subscribing and sharing with someone if you did
Me too!
I just had a TKA (in the US) 5 days ago and had watched this video well ahead of time. This information totally sold me on the idea of a spinal because of the longer duration of pain control it offers after surgery. Nowadays, narcotics are few and far between and I wanted to avoid EVER having to beg for relief while getting "the side eye" from medical providers. So, any kind of pain control besides opioids was something I want to try but will take a small dose of oxy if needed as well. Anyway, I asked them NOT to give me much amnesia-causing meds because I DO want to remember ALL of my one precious life. The anesthesiologist agreed to only 1 mg of Versed before the spinal so I was able to help the resident by getting into that curled C position on the gurney so he could place the anesthetic in the correct spot. I had no nurse to help so I had to curl up by myself. It was an almost totally pain-free experience and I am happy to have the tale to tell. BTW I even got to remember hearing the bone saw during my surgery. I love it! THANK YOU for the info that helped make this possible.
So glad we could help Catmom2004! And congrats on being done! Thanks for watching, subscribing and sharing with someone if you did.
just this type of anaesthesia for total hip replacement but without sedation had earphones with some music playing very positive experience.
Hi Elizabeth. Sounds pretty awesome. Thanks for telling your story. Thanks for watching, subscribing and sharing with someone if you did.
Great visual education of the role and technique of the anesthesiologist! Thanks Doctors! ❤️❤️❤️..Cheers!
You are very welcome Russ! Thanks for the kind words. Thanks for watching, subscribing and sharing with someone if you did.
I got spinal anesthesia for a c-section. The headache I got after my son was born was REALLY PAINFULL!!!! Wow!
That’s due to a slow leak of cerebrospinal fluid (CSF) from the puncture in the dura made to administer the local.
Hi Patty. Sorry to hear that. You may have had an epidural and you are describing an epidural headache. Sometimes they can injection blood that clots over the small hole in a procedure called a blood patch. Hopefully you are all good now. Thanks for telling your story. Thanks for watching, subscribing and sharing with someone if you did
Nice Virginia!
These spirals are monsters; but mabe things are better than 45 years ago.
My right knee got done two years ago. No problem with needle in back. Just had my left knee replacement done one month ago. When they put the needle in they kept moving it around and hitting nerves and that hurt. My leg kicked up into the air ha ha ha. I was in hospital two days and walked out to the car to come home. Used my walker two weeks. My cane one week and nothing now. Down helping in the garden today. Leg gets a bit sore in the soft dirt. Thank you for your time.
Sounds great Brent. Thank you for telling your story. Thanks for watching, subscribing and sharing with someone if you did.
I won't lie this made me cringe a little. I had spinal done when I had my csection done with my son. Great video thou. ❤
Hi Eliska. Yes it is a tad graphic but we felt it was important for people to see one done in hopes that they realize that there is limited pain involved. Thanks for watching!
I did to. Now need one for total knee replacement.
I just recently under went a TKR with a spinal. I was very nervous about a spinal as dental freezing no longer works well for me. My anesthesiologist and resident anesthesiologist put me at ease and everything worked very well. Surgery went great and my recovery is going very well. I won’t worry when I have my next knee done. 😁
Glad to hear it Faye. Thanks for watching and subscribing
Wow! I never thought it's done like 5 mins. Amazing!! Thank you doctors and patient for educating us!
Welcome Sarah
thank you doctors. my knee replacement surgery is 29 days away and i was concerned about the needle in the back. i am now praying i get a doctor that is as good as doctor K!! this is my 2nd knee replacement. my first was in 2012 and my goodness has technics and protocols changed since then. i am sincerely hoping for a easier recovery this time around
I had a Total Knee Replacement last week. I was sedated right after arriving in the Operating Suite and I don't remember getting the spinal anesthesia. That was fine with me!
Glad to hear it Debbie. All the best. Thanks for watching and for subscribing if you did.
Well done Debbie - there is no wayyyy in a million years I'd let anyone inject me in the spine without me first being completely sedated!
I had my bi lateral knee replacement done March 4/22. I was a bit concerned about the spinal anesthesia. I never felt a thing, a little pressure from the injection, other than that, nothing, The last clock i saw was 815am, 1015am was in recovery. I am coming up on the 2 week mark, my physio was just here, I am walking on crutches, getting 107degree bend on one knee 103 on other, Pain has been managed. Thank you for your informative videos. As the Docs say, USE YOUR PRESCRIBED MEDS! It makes recovery much easier.
Glad you are doing so well Dave!! All the best. Thanks for watching and subscribing
Thank you for this video! I had ORIF for lateral malleolus fracture 4 weeks ago and had the option of general or spinal. I chose general because the process was less frightening for me. After this video, I would definitely consider a spinal in the future. Dr Krishna was very clear and informative. I wish my anesthesiologist had been as detailed in his explanations.
Hi julie99nl. Thanks for the positive feedback. Dr Krishna did a great job of explaining all the pros and cons. And thanks for watching.
Interesting to not spinal is more frightening when its one injection and is super low risk yet a general anaesthetic you stop breathing and have to be kept alive essentially... spinal is way safer!
Thank you SO MUCH for doing this video! I'm going to have both of my knees replaced in the next few months, the first one on February 20th. I was pretty worried about the spinal anesthesia. But after seeing this, I'm thinking it might be okay. And hearing the Anesthetist talk about how I would be basically asleep helped me, too! I was more worried about all of this than I was of the actually knee replacement!
I had a spinal with a hip replacement! It was so easy and I could not believe how fast everything went numb!
Glad to hear it! Thanks for sharing your experience with the rest of the viewers. Thanks for watching, subscribing and sharing with someone if you did
I am not sure I had a spinal from my recent knee replacement It went well and I did not get sick when I woke up but I do have bad back pain I'm wondering if it had anything to do with the spinal. I also have been diagnosed with spinal stenosis so I don't know if it's somehow affected that. There were a couple of days when I could not even move the pain was that excruciating
@@robertlulek1634 I’m sure the spinal definitely had something to do with your back pain. My sister has scoliosis, and the Doctor would not give her a block because of her back. She also had a knee replacement.
I have had 2 TKR's And 1 Hip replacement. Last TKR on Left Knee was done with Spinal Anaesthetic and I was awake for whole procedure! Spoke to Surgeon and his Assistant, Anesthesiologist and other persons in Theatre during the operation. Quite enjoyed it all and am having similar for Right Hip Replacement being done in next 3 months. Looking forward to it!!! I am in Queensland AUSTRALIA!!
Hi Merv. All the best to you down under! Good luck with your hip. Thanks for watching, subscribing and for sharing if you did.
They just answered my question is spinal and epidural the same. Thanks Doc!
You are very welcome Disteh /
I ain't kidding, that was horrible. I am terrified of any back needles, especially after I had a nerve block done. It was soo painful. I won't be doing that procedure, just knock me out! The video was very informative and well explained.
Thanks Lexie. Typically it will be uncomfortable but should not be painful per se as they use local anesthetic. Best of luck to you. Thanks for watching, subscribing and sharing if you did.
I always wanted to know the difference between epidural and spinal. I had epidural with my first baby (22 hour labor). Thanks for explaining.
You are very welcome Megensbay. Thanks for watching and subscribing if you did
I have had two knee replacements and I can say the spinal anaesthetic doesn't hurt. These men and women are amazing at administering it.
Glad to hear it Bernie. Thanks for watching, subscribing and sharing with someone if you did.
Wish I had watched these videos prior to surgery. Nonetheless, they are informative and motivating.
Glad we could help Helen. Best of luck during your recovery. Thanks for watching and subscribing if you did.
Very helpful to see how simple this procedure is. Thank you.
Very welcome JERRY. Thanks for watching and subscribing
I want him as my anesthesiologist next time! I'd feel safe
Yes John. He is great. Thanks for watching and subscribing if you did
Was just told I will be getting a spinal anesthetic for surgery. Thank you for showing this. I'm already anxious for the surgery but this helped relieve some of the unknown.
Glad we could help Liz. Best of luck to you! Thanks for watching, subscribing and sharing with someone if you did.
Thank you. Well obviously informed is great for calming.
Hi El. We totally agree. You are very welcome.
I'm so encouraged about my spinal anesthesia after watching this - having a total knee replacement and this is way preferable to general. Which is actually not so bad either. My main problem is not wanting to wake up after it. I do love a nap.
Just had this done for a knee replacement 3 weeks ago. Interesting to see from the other side
Glad you liked it Maree. Continued success with your recovery! Check out our post TKR videos. Thanks for watching, subscribing and sharing with someone if you did
How are you feeling? I’m scheduled May 17.
Had my TKR 5/5/21 with spinal anesthesia and sedation. No pain but had numbness in bladder for about 12 hrs post op. Now doing well with physical therapy, taking opioid Med only at night, Tylenol extra strength during the day. I currently have about 90 degrees flexion...yeah
@@angelamontoya7820 by now you have had I had a rougher recovery than my first lots of bruising and pain a lot worse. But im doing really well. No driving yet but probably in a week. My bend is 127° so very happy with that. Hope yours went well and a speedy recovery x
Very good explanation! I had a spinal with my TKR 2 years ago. Wonderful experience and no nausea.
Thanks so much SulaniGrobler. Thanks for watching, subscribing and sharing with someone if you did.
Such a great video except for the part I almost passed out! Preparing myself for a double knee replacement. Your content is excellent and love your communication style. If you decide to leave medicine you might try comedy. Thank you!
Thanks so much Diane. With the pandemic pretty much shutting us down, maybe we will try the comedy! Best of luck with your upcoming surgeries. Keep us posted. Thanks for watching, subscribing and sharing it if you did.
thanks for showing us the procedure. :-)
Very welcome roger. Thanks for watching, subscribing and sharing with someone if you did.
Having this in the morning for my knee surgery..... 🙏
Good luck Tessa! Thanks for watching and subscribing if you did.
Hope everything went well !
WHEW! Not so scary anymore! Dr. Krishna was so good at explaining everything. Thank you for this wonderful presentation.
Glad you liked it Ruth. Thanks for watching and subscribing
I had the spinal procedure done several years ago, and all my spinal fluid drained out. I wasn’t aware of this and when I tried to get out of bed, upon rising to a sitting position, I thought my head was coming off my shoulders. Such pain!! Had to lie flat for a few days. Never had that done again. It was horrible!!
Yes that can happen Linda. Sorry to hear it was difficult for you. Thanks for watching, subscribing and sharing with someone if you did.
@@TalkingWithDocs As some populations of patients are more likely to have a CSF leak, is there anything that can be done to prevent one or lower the likelihood of one?
If not, what other anesthetic options exist for a Hip replacement?
Great videos, thank you so much. Yes I have subscribed :)
I’ve been a subscriber for years and love you guys! Your banter back and forth is great but your content far outweighs the laughs! This video was exceptional with Dr Krishna showing and explaining the spinal procedure. I’m going to discuss this with my orthopedic surgeon next visit, it sounds like it far out ways general anesthesia alone. Thank you again for a very informative video!
6:37 Exactly what happened to me. I woke up in the middle of surgery, I looked down on my cut open body, I was like "oh cool" and asked the doctors how's it going!
Hi Ahmed. Thanks for sharing. Thanks for watching and subscribing if you did.
I would have been terrified lol.
Had this for several knee replacements/reconstruction on one knee. Absolute cake. They gave me Versed too, literally the best drug ever for surgeries. The pain of operations was horrific, but anesthesia itself was a breeze. Thank you for this video and all you do!
Very welcome Day One. Thanks for sharing. Thanks for watching and subscribing if you did
Ahhh I remember this from my total knee replacement, it wasn’t bad, honestly I remember chuckling a little bit because at this point I have been stuck thru pre op a few times, however when waking up in post op and the next 24 hours in the hospital I was fairly comfortable.
Glad to hear it Mickey! Thanks for watching, subscribing and sharing with someone if you did.
How did you make that look so easy, I have had both knees replaced on separate occasions, and I can tell you it took quite a while and a great deal of discomfort to numb my spine, nothing like you did, but I do live in the UK where the NHS doesn't seem to care
Hi David. Dr Krishna is a wizard. Having said that there are many very good doctors in the UK. All the best. Thanks for watching and subscribing if you did
I had a panic attack just watching that! I have such a fear of spinal needles it makes me physically sick every time,
Hi Leeanne. That is no good. Maybe just keep watching it over and over and desensitize yourself! Thanks for watching, subscribing and sharing with someone if you did.
same here, hope i never have to do this. even blood extraction almost made me go panic and blackout. maybe one day when im old we dont have to do this anymore. i pray, because no one can make me do this procedure.
Broke my ankle and tibia. Asked for spinal anesthetic. I don’t remember a thing. I was told the needle would pinch going in, then a stinging. I felt almost nothing. I get very lethargic and nauseated with general anesthetic and this procedure was awesome! I was almost fully awake going into the recovery room. Massive difference for me between general and spinal. Highly recommend a spinal whenever possible.
Thank you for sharing the good news Linda. Thanks for watching and subscribing
Really nice presentation, but a minute into it I felt a bit light headed😲
Glad you liked it Barbie. Thanks for watching, subscribing and sharing with someone if you did.
You go, guys.
I'm a retired anesthesiologist and was a little disappointed that I wasn't offered a spinal for my total hip replacement. They gave me a general using diprivan, versed, fentanyl 200 mcg rocuronium and desflurane. Six hours after the last stitch, I was street ready--they got burned because they could've done a spinal or at least used sufentanil/alfentanil instead of fentanyl. Since the surgeon bathed the surgical site with an anesthetic wash, naloxone 10-20 mcg at a time would've helped me wake up without creating a pain crisis.
PS. Duramorph was great for abdominal procedures, but our TKR/THR patient population had either breakthrough pain or severe nausea/vomiting.
Thanks so much for your expert insight Jeff. Glad you are doing ok. Thanks for watching, subscribing and sharing with someone if you did.
It hurts like you would not believe, unless you're familiar with spinal injections. It feels very similar to that with a lot of pressure
Hi 95KIPPIE. Sorry to hear that yours was so painful. Thanks for watching, subscribing and sharing with someone if you did.
I had two for prophylactic femur pin operations and neither of them hurt.
I don’t recall it being that painful, had it done twice. I guess it depends on the anesthesiologist & your tolerance.
Thanks so much for sharing this. It has eased lots of my fears and worries for my upcoming surgery.
Glad to hear it. Thanks for watching and subscribing
I had this when I had my hysterectomy. I recovered faster than being put totally under.
We agree Darlene. Way less groggy and nauseous. So glad it worked well for you. Thanks for watching, subscribing and sharing with someone if you did
@@TalkingWithDocs thanks for responding. When I told my Dr that I opted for the spinal and IV sedation he thought I was crazy. But he let me do it that way. He said the spinal had to take affect totally since my surgery was extensive. I did wake up during the operation but I was fine with that. I felt more comfortable being aware. Anyways, more people need to know about this option.
You mean recover consciousness/awareness/mental normalcy? Myself, I’d rather be put under completely. If I die, I don’t know it.
I had general anesthesia for my knee replacement. I was drosy for several days. When I had a revision done (knee cap replaced), I had spinal anesthesia. It was a world of difference. I was alert and talking within hours.
Hi Leslie. There are many reasons for using a general but certainly spinal seems preferred by most patients and surgeons for the reasons you mentioned. Thanks for sharing your story. Thanks for watching and subscribing if you did.