Nerve Block

[Guest guest]

Contessa,

I had the femoral nerve block for my TKR last month, plus

whatever they put in the IV to make me unaware of what was

happening. It was recommended, in part, because I'm asthmatic &

the anaesth. thought I'd do better breathing on my own instead

of being on a respirator.

Didn't have any throat irritation afterward, no lingering

effects at all. Couldn't feel my leg until 24 hrs. later, so

the passive bending machine didn't really bother me. I think it

was a great way to go.

The femoral nerve block goes in right down in the groin, in the

fold where your leg meets your trunk. That place was sore at

times during my early weeks, but is fine now.

Barb in MI

Barbara Ward

Macomb County, Michigan

__________________________________________________

[Guest guest]

Are yoou sure you had general anaesthesia? Frequently they knock you

out with an IV while using the nerve block, so you are unconscious,

but not at nearly as deep a level and you can be brought out of it

very quickly. When I had my general for the first hip, it was hours

before I was fully conscious. When I had the spinal for the second

hip, with IV do keep me under, I was awake ten minutes after beeing

wheeled to the recovery room, and had much less aftereffects.

Chris

>

> Hi there I need some feedback because I am sort of confused about

the

> nerve/spinal block thing. I had my RTKR done on 9/30/05 and am

having

> the left done 1/18/06. I had some kind of nerve block with the

right

> one but I am not sure exactly what kind. It was in addition to

being

> put to sleep with standard anesthesia and i woke up ready to walk.

(In

> fact I got yelled at the first night for getting up to potty by

> myself.) I am sooooo type a personality haha It did make being on

the

> medeivel torture machine (the leg bendy thingy) no problem and I

didn't

> even have to have it when I went home. I pushed myself to walk the

> halls right away and it really didn't hurt all that much. My

question

> is... I have read here that people had one or the other but not

nerve

> block with general anethesia. Is that rare or am I just extra

lucky to

> have both? My Doc practices in two hospitals here and one uses the

> nerve block (its a special orthopaedic hosp) and the other doesn't

use

> the nerve block at all (regular hosp.) So what is the standard

here?

> Thanks Contessa

>

[Guest guest]

Hi

For both my resurfacings I had a spinal block and general anaesthetic.

Each time I had a different type of general because I was so sick with first one

but had the

spinal with both, it is common practise here.

jane in Wales

7

[Guest guest]

I had an EMG on Tuesday and I called my pain doctor and I still haven't

been scheduled for a mylegram and my appt with the neurosurgeon was on

Dec 11. I called the pain doc and told him I needed to do something

for the pain because it is so bad. I have an appt tomorrow am for a

spinal nerve block.. Is that any different then epidural and if so how

is it different. Is there any recovery time?

_________________________________________________________________

Windows Live™ Hotmail®: Chat. Store. Share. Do more with mail.

http://windowslive.com/howitworks?ocid=TXT_TAGLM_WL_t1_hm_justgotbetter_howitwor\

ks_012009

[Guest guest]

I had an EMG on Tuesday and I called my pain doctor and I still haven't

been scheduled for a mylegram and my appt with the neurosurgeon was on

Dec 11. I called the pain doc and told him I needed to do something

for the pain because it is so bad. I have an appt tomorrow am for a

spinal nerve block.. Is that any different then epidural and if so how

is it different. Is there any recovery time?

_________________________________________________________________

Windows Live™ Hotmail®: Chat. Store. Share. Do more with mail.

http://windowslive.com/howitworks?ocid=TXT_TAGLM_WL_t1_hm_justgotbetter_howitwor\

ks_012009

[Guest guest]

I had a knee replacement on 6/30/09. The nerve block was left in for 3

days and only taken out when I was discharged to come home from the hospital.

[Guest guest]

They put the block in during surgery but it is in addition to the

anisthesia.

[Guest guest]

When they do a nerve block and it is left in for 3 days, is it different

medicine then what they used during surgery? Thank you Deb

[Guest guest]

Sorry, I have no idea. Joan

________________________________

From: Deb <deb.scherr@...>

Joint Replacement

Sent: Sun, January 31, 2010 2:34:45 PM

Subject: Re: nerve block

When they do a nerve block and it is left in for 3 days, is it different

medicine then what they used during surgery? Thank you Deb

[Guest guest]

>

Ok, do they just leave the line in for 2 days and add to it as you need it or

just give you a block which lasts 2 days? Thank you and sorry for all the

questions, I have never had anything but a spinal. Thank you.

[Guest guest]

They give you a block that lasts for a few days. No line, no additional

meds.

Jackie

On 1/31/10 1:55 PM, " Deb " <deb.scherr@...> wrote:

>

>

>

>

>

>

>

>> >

> Ok, do they just leave the line in for 2 days and add to it as you need it or

> just give you a block which lasts 2 days? Thank you and sorry for all the

> questions, I have never had anything but a spinal. Thank you.

>

>

>

[Guest guest]

Thank you, is this a new procedure? I had spinal anesthesia the last times of

course it was not done at the Mayo Clinic. Thank you for all your information.

Deb

[Guest guest]

Hi Deb,

I didn¹t think it was especially new but I did read one article about a

study of pain management dated in 2009 that called it a ³new approach². My

docs suggested it. I had a spinals for both my TKRs and after the surgery

they did a femoral block. The anesthesiologist told me that the surgeon

wanted it done after surgery was completed and from what I¹ve read that is

common practice. For my first surgery I was still in the OR when I came

awake and reminded them to do the femoral block. I don¹t know if they had

actually forgotten or not but they put me back under whatever nice thing

they were using so I was unaware during surgery and did the block then

before taking me to recovery.

I think the main advantages are that the block is at the site of the

potential pain so is very specific to that area and als is not going through

your system, and it reduces the amount of drugs you need for the first and

potentially most painful days following surgery.

I don¹t remember when your surgery is being done. It¹s a hip replacement

right?

Best wishes,

Jackie

Ps the article is at

http://www.eorthopod.com/content/controlling-pain-after-a-total-hip-replacem

ent

On 1/31/10 5:24 PM, " Deb " <deb.scherr@...> wrote:

> Thank you, is this a new procedure? I had spinal anesthesia the last times of

> course it was not done at the Mayo Clinic. Thank you for all your information.

> Deb

>

>

[Guest guest]

Thank you Jackie for all your information! Yes, it is a hip revision. I just

like to know a little before I go in. My surgery is not until March. It is not

done like the previous hip revisions, so I thank you for all your help. Deb

>