Our previous Anaesthetic Procedure for Patients Undergoing Hip Resurfacing/Replacement Surgery with Professor McMinn
Each of Professor McMinn’s patients has their medical history taken during consultation before being referred to our anaesthetic team prior to surgery. Please let us know if you have any previous health issues or allergies and list any medication you are currently taking as certain mediation can preclude the use of anaesthetics.
There is no single standard anaesthetic technique for hip replacement. Professor McMinn’s anaesthetists use a hypotensive epidural anesthetic (HEA) technique under light general anesthesia (GA). This technique provides reduced blood loss and transfusion, low incidence of postoperative nausea and vomiting, rapid return of psychomotor function, early mobilization, reduced incidence of postoperative venous thrombosis and pulmonary embolism, maintained pulmonary function, and a reduced stress response to surgical trauma.
On the day of surgery, patients are brought to the anesthetic room where they are fully monitored with pulse oximetry, noninvasive blood pressure, and five-lead ECG with three-lead ST segment analysis. After normal preoperative checks and final discussions with the surgical team, they are given preoxygenation via a face mask, an intravenous line is established in the upper arm and a light general anesthetic is induced with propofol either by infusion or as a bolus. Local anesthesia is also infiltrated at the site of the arthroplasty at the time of surgery to reduce the need for post operative pain killers.
During the first few post operative hours, pain management is achieved via a patient-controlled epidural pump (PCEA) technique. The epidural line is removed after the 8th postoperative hour, after which oral analgesics are used to manage pain control.