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Wed, Mar 4 11:35am · Having knee replacement: how to prepare and questions about PT in Joint Replacements

@riderwayne – I had a left TKR just about one year ago at the Mayo Clinic in Rochester. I too was nervous about the anesthesia. They set me up at my pre surgery meeting (one week prior) to meet with an anesthesiologist to go over my fears and my personal surgery drug plan. I felt really listened to and confident that I would have a successful experience.

While in pre op the anesthesia team came in to assure me that my concerns were addressed and that I would not be put under, but rather awake during the procedure. They also agreed to give me smaller doses (unless i needed more). I recall some diazepam type drug in an IV before they inject some anti pain drug into my leg guided via ultra sound. In the OR they gave me something that put me in an awake, yet not awake and not remembering state. When I got to post op the drug wore off quickly and I was alert and not in the least bit nauseated. I could not remember the procedure nor could I remember how I went in with one gown and came out with a different one. Yikes! I went to my room and a bit later someone came in and had me up and walking. I only took extra strength tylenol during my 24 hour hospital room stay and again never once felt groggy, confused or sick from the surgery.

Fair warning though…..they do inject some type of long lasting pain med right in to the knee area before you leave the OR. I thought I was a tough guy, but in about 48 hours it wears off so make sure you fill your pain med prescription. I ended up taking full doses of Tramodol for 2 days and 1/2 dose for 2 or 3 more and then just a 1/2 dose before bed for about a week with advil/tylanol during the day.

I strongly encourage you to be your own advocate and request to meet with the anethesia team.

Wishing you a life with out pain, Kajon

Sep 28, 2019 · Having knee replacement: how to prepare and questions about PT in Joint Replacements

@zackat google the words " ice therapy machine knee " Tip – if you have the cooler type, use frozen water bottles instead of ice cubes to keep the circulating water cold.

May 6, 2019 · Robotic assisted total knee replacement in Joint Replacements

@mhort1213 I asked my surgeon about robotics and said the surgeries tend to go quite well, but he is holding off until more long term data is available.

My uncle had the robotic surgery done Feb 2019 and had a great recovery. I was reading that there can be less pain during recovery because the robot is able to more precisely adjust bone alignment and can use its computer brain to calculate individual measurements of the tendons, ligaments and muscle. I assume this means there is less manual manipulation of these soft tissues / stretching.

It is hard to know what to do…….

Apr 19, 2019 · Wondering about anesthesia and pain control post TKR in Joint Replacements

@ulbazina – I had my left knee TKR on Mar 8 at the Mayo in Rochester. I was a nervous wreck about anesthesia. A week prior to my surgery I was able to meet with one of the anesthesiologists from my surgeon's team. It was so great that she took the time to explain my options and listen to my concerns. I ended up having midazolam and then a small dose of fentanyl to prepare me for the nerve block bupivacaine just above my knee area Once I got in to the OR I had an epidural (I think it was Ropicacaine). I was told that the epidural is injected below the spinal column (nerves area). While they were doing that I was given a dose of propofol and I was out. So I had no heavy anesthesia and I woke up in recovery bright and alert. The knee block wore off over the next 24 to 36 hours with no side effects.

I hope that you can meet with an anesthesiologist to put your mind at ease.