Prepping for Knee Replacement Surgery #orthopedicsurgery
Description: Will I Be Asleep During My Knee Replacement? Spinal Anesthesia Explained #shorts
Spinal or general anesthesia for hip and knee replacement? It is one of the most common questions I hear in clinic, and the answer is more nuanced than most expect.
Spinal anesthesia is a single injection in the lower back that numbs the body from the waist down. Patients still receive sedation, so most are relaxed and resting during surgery while breathing on their own, without a breathing tube. #spinalanesthesia
For elective joint replacement, observational studies have generally favored spinal anesthesia for early recovery: less postoperative pain and nausea, lower opioid requirements, and smoother same-day discharge in the outpatient setting, with similar complication rates between the two approaches.
For my colleagues, two details are worth highlighting. First, agent selection matters. A shorter-acting spinal agent can shorten recovery room time compared with longer-acting options, a real advantage in the ambulatory setting. Second, the strongest randomized evidence on this question comes from hip fracture surgery in older adults, where spinal was not superior to general anesthesia for survival, walking ability, or delirium. That is a different population than elective arthroplasty, and it reminds us that technique choice should be individualized.
Spinal is not right for everyone. Bleeding disorders, certain blood thinners, infection at the injection site, some heart conditions such as severe aortic stenosis, and certain neurologic conditions may make general anesthesia the safer choice. That decision is made together with your anesthesiologist. #jointreplacement
As a surgeon who performs more than 700 hip and knee replacements each year, I have seen how much a well-planned anesthetic contributes to a comfortable first day of recovery.
This content is for educational purposes only and is not a substitute for professional medical advice.
.
📲 SUBSCRIBE NOW for new #surgery videos
𝗖𝗢𝗥𝗬 𝗖𝗔𝗟𝗘𝗡𝗗𝗜𝗡𝗘, 𝗠𝗗 | Orthopedic Surgeon · Franklin/Nashville, Tennessee
🌐 https://corycalendinemd.com
📅 Free joint replacement guide: https://corycalendinemd.com/free-joint-replacement-guide/
🌐 See Dr. Calendine in your Google & AI search results: https://corycalendinemd.com/preferred
📍 Bone and Joint Institute of Tennessee · 3000 Edward Curd Lane, Franklin, TN 37067
📞 (615) 791-2630
About Dr. Cory Calendine, MD - 3000 Edward Curd Lane, Franklin, TN 37067
In the operating room, I get to perform more than 700 hip & knee replacement surgeries each year. From LIVE surgical demos to viral video highlights, together let's explore - react - discuss all things related to bone and joint health. #orthopedicsurgeon #jointreplacement
THANK YOU for your comments, questions and suggestions. If there’s a medical topic or question you want me to discuss, please comment below. We are building a library of orthopedic medical video content focused on your requests and responses.
📽️ Watch latest hip & knee surgery videos ▶️ https://www.youtube.com/channel/UCtuCgnGoZNPFvJ2EzRZNHgw/videos
𝐋𝐄𝐓'𝐒 𝐂𝐎𝐍𝐍𝐄𝐂𝐓:
TikTok ▶️ https://www.tiktok.com/@corycalendinemd
LinkTree ▶️ https://linktr.ee/corycalendinemd
𝐃𝐈𝐒𝐂𝐋𝐀𝐈𝐌𝐄𝐑𝐒:
Opinions expressed are solely my own and do not express the views or opinions of my employer. Information in this video is not intended or implied to be a substitute for professional medical advice, diagnosis and/or treatment. All content [images, digital graphics, text, and other information] contained in this video is for general information purposes only and does not replace or substitute for a consultation with a qualified physician or health professional. Close description
Spinal or general anesthesia for hip and knee replacement? It is one of the most common questions I hear in clinic, and the answer is more nuanced than most expect.
Spinal anesthesia is a single injection in the lower back that numbs the body from the waist down. Patients still receive sedation, so most are relaxed and resting during surgery while breathing on their own, without a breathing tube. #spinalanesthesia
For elective joint replacement, observational studies have generally favored spinal anesthesia for early recovery: less postoperative pain and nausea, lower opioid requirements, and smoother same-day discharge in the outpatient setting, with similar complication rates between the two approaches.
For my colleagues, two details are worth highlighting. First, agent selection matters. A shorter-acting spinal agent can shorten recovery room time compared with longer-acting options, a real advantage in the ambulatory setting. Second, the strongest randomized evidence on this question comes from hip fracture surgery in older adults, where spinal was not superior to general anesthesia for survival, walking ability, or delirium. That is a different population than elective arthroplasty, and it reminds us that technique choice should be individualized.
Spinal is not right for everyone. Bleeding disorders, certain blood thinners, infection at the injection site, some heart conditions such as severe aortic stenosis, and certain neurologic conditions may make general anesthesia the safer choice. That decision is made together with your anesthesiologist. #jointreplacement
As a surgeon who performs more than 700 hip and knee replacements each year, I have seen how much a well-planned anesthetic contributes to a comfortable first day of recovery.
This content is for educational purposes only and is not a substitute for professional medical advice.
.
📲 SUBSCRIBE NOW for new #surgery videos
𝗖𝗢𝗥𝗬 𝗖𝗔𝗟𝗘𝗡𝗗𝗜𝗡𝗘, 𝗠𝗗 | Orthopedic Surgeon · Franklin/Nashville, Tennessee
🌐 https://corycalendinemd.com
📅 Free joint replacement guide: https://corycalendinemd.com/free-joint-replacement-guide/
🌐 See Dr. Calendine in your Google & AI search results: https://corycalendinemd.com/preferred
📍 Bone and Joint Institute of Tennessee · 3000 Edward Curd Lane, Franklin, TN 37067
📞 (615) 791-2630
About Dr. Cory Calendine, MD - 3000 Edward Curd Lane, Franklin, TN 37067
In the operating room, I get to perform more than 700 hip & knee replacement surgeries each year. From LIVE surgical demos to viral video highlights, together let's explore - react - discuss all things related to bone and joint health. #orthopedicsurgeon #jointreplacement
THANK YOU for your comments, questions and suggestions. If there’s a medical topic or question you want me to discuss, please comment below. We are building a library of orthopedic medical video content focused on your requests and responses.
📽️ Watch latest hip & knee surgery videos ▶️ https://www.youtube.com/channel/UCtuCgnGoZNPFvJ2EzRZNHgw/videos
𝐋𝐄𝐓'𝐒 𝐂𝐎𝐍𝐍𝐄𝐂𝐓:
TikTok ▶️ https://www.tiktok.com/@corycalendinemd
LinkTree ▶️ https://linktr.ee/corycalendinemd
𝐃𝐈𝐒𝐂𝐋𝐀𝐈𝐌𝐄𝐑𝐒:
Opinions expressed are solely my own and do not express the views or opinions of my employer. Information in this video is not intended or implied to be a substitute for professional medical advice, diagnosis and/or treatment. All content [images, digital graphics, text, and other information] contained in this video is for general information purposes only and does not replace or substitute for a consultation with a qualified physician or health professional. Close description