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What Kind Of Anaesthesia Is Advisable Before An Orthopaedic Knee Operation?

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Posted on Thu, 25 Sep 2014
Question: Orthopaedic knee operation is planned, what kind of anaesthesia is suggested in a mild degree, medically treated myasthenia gravis.
doctor
Answered by Dr. Dr. Naveen Kumar Sharma (19 minutes later)
Brief Answer:
spinal anesthesia or regional block

Detailed Answer:
Hello,
Anesthesia in a Myesthenia Gravis patient is a serious issue for obvious reasons. There is always chances of the respiration and cardiac depression. So mostly regional and local anesthesia is chosen.
In your case as you aid that your disease is under control so it is not to be worried a lot, knee operation, I think a spinal anesthesia is safest. In this drug is given through a thin needle (26 G) in your back. I mentioned size because it is very thin and does not cause any pain, so be relax about that.
Still i will suggest you to let your anesthetist chose his method and type of anesthesia. You can discuss my opinion with him.
I hope this answer will be useful for you. Let me know if there is any other follow up question.
thanks
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Dr. Naveen Kumar Sharma

Orthopaedic Surgeon, Joint Replacement

Practicing since :2002

Answered : 4486 Questions

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What Kind Of Anaesthesia Is Advisable Before An Orthopaedic Knee Operation?

Brief Answer: spinal anesthesia or regional block Detailed Answer: Hello, Anesthesia in a Myesthenia Gravis patient is a serious issue for obvious reasons. There is always chances of the respiration and cardiac depression. So mostly regional and local anesthesia is chosen. In your case as you aid that your disease is under control so it is not to be worried a lot, knee operation, I think a spinal anesthesia is safest. In this drug is given through a thin needle (26 G) in your back. I mentioned size because it is very thin and does not cause any pain, so be relax about that. Still i will suggest you to let your anesthetist chose his method and type of anesthesia. You can discuss my opinion with him. I hope this answer will be useful for you. Let me know if there is any other follow up question. thanks