9 doctors weighed in:

What anesthesia is best for knee replacement surgery?

9 doctors weighed in
Dr. Jaymin Chang
Anesthesiology
3 doctors agree

In brief: A combined technique

The most eloquent technique is a combined general anesthetic/nerve block approach.
Before surgery you get a femoral and sciatic nerve block. This numbs up your whole leg and provides excellent post-op pain control. Some centers will also place a femoral block catheter so you can get more local anesthetic after the operation. Then the general anesthetic keeps you blissfully asleep during surgery.

In brief: A combined technique

The most eloquent technique is a combined general anesthetic/nerve block approach.
Before surgery you get a femoral and sciatic nerve block. This numbs up your whole leg and provides excellent post-op pain control. Some centers will also place a femoral block catheter so you can get more local anesthetic after the operation. Then the general anesthetic keeps you blissfully asleep during surgery.
Dr. Jaymin Chang
Dr. Jaymin Chang
Thank
1 comment
Dr. David Graybill
Regional anaesthetic is best, there are several options including spinal,epidural and femoral/sciatic blocks. This prevents severe pain !
Dr. Richard Pollard
Anesthesiology
1 doctor agrees

In brief: Regional anesthesia

The preference is sometimes driven by the surgeon, but commonly the choice is a regional anesthetic.
There seems to be some benefits with regards to postoperative thrombosis and pain management.

In brief: Regional anesthesia

The preference is sometimes driven by the surgeon, but commonly the choice is a regional anesthetic.
There seems to be some benefits with regards to postoperative thrombosis and pain management.
Dr. Richard Pollard
Dr. Richard Pollard
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Dr. Geoffrey Tyson
Pain Management
1 doctor agrees

In brief: Regional or General

Either regional (spinal or epidural) or a general anesthetic can be used safely.

In brief: Regional or General

Either regional (spinal or epidural) or a general anesthetic can be used safely.
Dr. Geoffrey Tyson
Dr. Geoffrey Tyson
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Dr. Robert Greer
Family Medicine

In brief: General

I would want to be "out" for this procedure.
It is a major piece of surgery.

In brief: General

I would want to be "out" for this procedure.
It is a major piece of surgery.
Dr. Robert Greer
Dr. Robert Greer
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