Having A Baby Or Surgery? Epidural Explained By Dr Krishna Anaesthesiologist
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- Опубліковано 3 жов 2024
- The surgeons would like to thank Dr. Arjun Krishna for discussing the difference between a spinal and an epidural anesthetic. We discuss the risk of puncture that can lead to a headache. We discuss the indications for each type of anesthetic.
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Great and informative video! I totally love the fact that I had a major surgery and was totally pain free for the first few hours afterward! I will be having my other knee replacement soon and totally have peace of mind that I did not have for the first one. I no longer feel I need to be under general anesthesia, love waking up and being alert and I will choose spinal or epidural any day over general!
It’s the best Pamela! Thanks for watching and subscribing if you did
Thanks for the video today
Wry welcome Marcia. Thanks for watching and subscribing if you did
That will numb the surgical site -- what about patients who don't want to hear or see anything? In other words -- knocking you out?
Hi Jennifer. That is what all of the other medications are for ! Thanks for watching and subscribing if you did
That’s what general anaesthetics are for
@@TalkingWithDocs How about you discuss those? This was great info, as my daughter's waiting for a baby to come and I'm waiting for a new hip to come! Know we know.
I have had several with my knee and don’t remember how it felt. I had one with my youngest daughter and it helped immensely be cause it was a long labor and ended up being a Cesarean section ! Thanks for the good information as always Docs!
Thanks for sharing Darlene!
You guys are a riot. I was one of the guys who asked on a previous video and you kindly answered about 3mm. As far as headaches, I’ve had 13 epidurals at L5-S1 over many years and not ever had a headache. I’ve not had a spinal. Keep up the good work guys. 😉
Yeah I have had spinal injections for L5 S 1 too and no headaches. Have had spinals for two knees and left hip. No headaches!!!!
Thanks so much James. We do our best. Wow that’s a lot of epidurals. All the best. Thanks for watching
That’s good Camille. Headaches are a pain. Thanks for watching and subscribing if you did
@@TalkingWithDocs Yes, a lot of epidurals but over a 10 year period.
Great information as always 😊
Glad you liked it Kathleen. Thanks for watching and subscribing if you did
Always helpful
Thanks Kimberly
Awesome info docs! Subscribed RN here! 💪🏼
Thank you so much joshuavillegasr!
Thanks for sharing
Why thanks for watching!
The thought sounded terrifying as I am terrified to be put under. After seeing this video I am am definitely choosing a spinal epidural.
Glad we could help
How does having spinal stenosis affect having a spinal or epidural?
Hi Sharon. It shouldn't. Your anesthetist could discuss the specific increased risks associated with a spinal anesthetic but they are rare. Hope that helps. Thanks for watching, subscribing and sharing if you did.
I’m a retired nurse and when I worked on postpartum at McMaster I was bedside to watch an anesthesiologist complete an acupuncture treatment for a Mom who was having a headache from a dura puncture. It was fascinating to watch and almost instantly effective. So interesting.
Very cool Lynn. Nice that you worked at Mac. Thanks for watching and subscribing if you did
Thank you Docs! Love the humour as well! See you soon Dr. Weening.
Very welcome George! We will take good care of you. Thanks for watching, subscribing and sharing with someone if you did.
Yup! I had a spinal injection while busy giving birth Big pain relief until I sat up too fast. At least I was told that was why the crushing headache occurred. Two major memories of that day were this very cool new daughter AAAND the crushing headache.. The headache resolved but I kept the daughter. Good decision. Thanks for enlightening me. I have wondered the difference between the two..
Very welcome carole. Thanks for watching, subscribing and sharing with someone if you did.
@@TalkingWithDocs Subscribed
What does Dr.Krishna recommend for the dura headaches? Also, does he perform the Interscalene plexus nerve blocks for any shoulder surgeries?
That's a great idea for both questions
Hi Denise. So usually it starts with bed rest and then a blood patch. And yes he does perform interscalene blocks for shoulder surgery. Thanks for watching
@@TalkingWithDocs We used thee blood patch post partum, bed rest, increased the fluids. Dr. Krishna is so informative thank you for having him on! Hope things are improving in your neck of the woods. Good health to all!
@@denisemariner9755 blood patch?? That sounds horrifying!
@@mom2boys170 Not as bad as it sounds and it gives much relief from the headache. Now the husband headache,we couldn't fix!!!!🤔😂😂😂😂 Hope you and your family are safe and healthy up yonder!☺️❤️
Drs! Great job with your channel. How does the anesthesiologist know he hasn’t gone too far into the spinal canal or not far enough? Aspiration??
Yes Steve aspiration of spinal fluid!!! Thanks for watching and subscribing
One item not addressed in this great video is whether the injected fluid is the same for both procedures. What say you?
Hi cdbflynow. Generally epidurals are mostly freezing but sometimes narcotics are added. With spinal anesthetics it is also freezing and more commonly narcotics are added. Hope that helps. Great question. Thanks for watching, subscribing and sharing with someone if you did.
I appreciated this. Thank you.
Very welcome W Sue. Thanks for watching, subscribing and sharing with someone if you did.
A side effect that I experienced from my epidural after a c section was intense coldness and teeth chattering. Bruised my teeth. Was not informed as to why this was happening but from your explanation of how this works I now have a better understanding
Hope you are ok now Mary. Thanks for watching and subscribing if you did
I love Dr. Krishna
Glad to hear it! Thanks for watching and subscribing if you did
Can either of these, spinal or epidural be used for someone who has problem with numbing not lasting? Would it be better to be fully sedated for a knee replacement surgery?
Hi Faye. They could use a longer acting local anesthetic. Discuss it with your anesthetist ahead of time. Best of luck to you. Thanks for watching and subscribing if you did
How about horrendous back pain at epidural site days later? Got the epidural too late for my second son (after 3 attempts), so I felt everything and got wicked back pain to boot. Lose/Lose! How many anesthesiologists work at OTMH? 6 surgeries in 2 years with 7 different (yes, 7, last minute change) anesthesiologists. I get around...
Hi Mom2Boys. Sorry to hear that. Yikes. Not sure of the tally these days but probably 15-20. Thanks for watching!
@@TalkingWithDocs really eh? Didn't imagine that many. Love me a good anesthesiologist! Gotta make some new friends in London now.
I had pain at my epidural site for the first 8 weeks afterwards and that spot is still sensitive today. I agree it's an awful pain to contend with.
I had a revision with a patella replacement as well, took me 8 months of PT, but completely back with the ability to bend to a 145°.
Now rehab for shoulder replacement . 10 months PT again but full mobility and strength.
Wow Hannie you are a glutton for punishment. Best of luck to you. Thanks for watching, subscribing and sharing if you did.
I was just wondering about this! I just read in my paperwork that they will not be doing general anesthesia. I have never had an epidural. Sounds scary. At first it made me nervous but I am adjusting. I am not sure I want to be awake during the surgery. My hip replacement surgery is coming up on Sept 10. I am praying the surgery stops the pain!! I would love to sleep through the night. I love your videos. Always friendly and informative.
Glad you liked them Lara. Good luck with your surgery next month. Thanks for watching, subscribing and sharing with someone if you did.
What causes a spinal or epidural to go high and the patient can't feel herself breathing?
Hi Sharon. This is a very rare complication where the medication tracks upward and affects the nerves as high as C3-5 which are involved in moving the diaphragm. Depending on the severity, the patient may require temporary intubation while those nerves were allowed to recover. Hope that helps. Thanks for watching, subscribing and sharing with someone if you did.
Thank you for your response.This happened to me during all 4 of my c-sections many years ago and I had always wondered why.
You guys are hilarious lol! But I know the difference between both had a spinal anesthetic !
Well glad you like it Stonger! Thanks for watching and subscribing if t
You docs are hilarious! I had a freezing done before when I had to get a filling for my tooth, it was a small tiny pit I got a needle put in.
That can hurt Alida. Thanks for watching and subscribing
I’ve been left with permanent nerve damage as a result of the spinal I had when I had my knee replaced. I lost all use of my quads post op. I had a steroid injection in my back 8 months later which did give me some quad use, so I’m no longer dragging my leg, but if I step wrong, my leg will collapse. I had a second steroid injection, with no improvement. I will never have another spinal!
Wow Elaine that is difficult. Did they find out the exact cause of the loss of quad function? Best of luck to you. Thanks for watching, subscribing and sharing with someone if you did.
@@TalkingWithDocs all I was told from the emg was there was nerve damage at the site in my spine right where I had the spinal. I had immediate improvement with the first steroid shot, like I could feel a change in my thigh right after I got off the table. It kept improving for a couple of weeks, then stopped. I’m angry that it took so many months before anything was done about my leg and wonder if I might have had a better outcome if I had the steroid shot sooner. My ortho just poo pooed me when I complained about the loss of function in my leg and kept saying to wait as the quads should just come back on their own. I can’t run, can’t step up with that leg, walking is an effort and is exhausting and painful after a few minutes. I’ve essentially been crippled.
I had a horrible csf leak headache after my tkr. For my first week it was just awful and unfortunately the doctors did not recognize it until 3 days later. I was already home and could not get my head higher than my body without excruciating pain. I was in so much pain in the hospital that I kept asking for more drugs. That probably caused them to miss it. I couldn’t bear to think about riding in a car back to the hospital for the blood patch, so let it heal on its own. Awful experience.
Thank you for telling your story EmptyPocketsCarl. Glad it all worked out in the end. Thanks for watching, subscribing and sharing with someone if you did.
Hi doctors
what are the symptoms of pancreatitis? And when should i go see my doctor?
Hi Mackenzie Scott. There are many including abdominal pain, back pain, bloating, nausea, vomiting up to including being severely and even deathly ill. If you have pain or are worried about this you should see your doctor. Thanks for watching, subscribing and sharing with someone if you did.
@@TalkingWithDocs thanks again doctors
Well I’m confused I just had a hip replacement surgery and they said this is what I needed but told me it would be given to me through a IV
Hi Mark so they give you medicine to sedate you and then a needle in the back.
I'm so nervous to get my spinal tap on Friday for my csection. I had an epidural with my first, and it was so painful I was screaming because I have scoliosis and they messed up the placement the first couple of times. I hope that my spinal tap on Friday isn't as painful and I get an anesthologist that can handle my curved spine with care.
Best of luck on Friday NukaColaRiley. It can be tricky with scoliosis. Thanks for watching and subscribing if you did
I’m getting a mpfl reconstruction June 16th can you guys please make a video on that please to help educate people more?
Hi Emma. We can add that to our list to do for sure. Best of luck with your surgery. Thanks for watching and subscribing if you did
@@TalkingWithDocs thank you very much, I can’t wait to see it once it comes out. I sure am subscribed, keep up the great work!
I think I had an epidural for my emergency c section and I was so itchy afterwards 😫 why??
Hi Ternisha. The morphine in the epidural can make you itchy. Thanks for watching and subscribing if you did
I’m having a planned c-section on may, I’m already had a migraine, and thinking of getting a bad headache it's frustrated me.
I had two c-sections before with general anesthesia which was the only option in my country back there.
I will have my 3rd c section can I ask them to do the general anesthesia?
Of course you can ask. They will discuss the risks and benefits of each and you get to make a decision from there. Best of luck. Thanks for watching and subscribing
Can I have either of these procedures if I have bone metastases from prostate cancer on my spine?
Hi AJs. Often they will opt for a GA in the setting of Mets. Best to discuss with your anesthetist. Good luck. Thanks for watching and subscribing if you did
I had a spinal with tkr was fine, epidural with manipulation and it didn't freeze my bad leg, and epidural was good enough pain and l broke out in hives from my bottom and legs.
Thank you for sharing your story LeeAnn. Hope the manipulation worked for you. Thanks for watching, subscribing and sharing with someone if you did.
Please talk to us without the masks if you can 😁 so much better.
We agree Camille. Soon. Very soon. Thanks for watching and subscribing if you did
Doc about the blood stool i poop blood and poop but its one time and i poop 2 days but its normal poop what i doo or what can i eat
Hi yans. Sorry to hear about the blood in your stool. Best advice is high fiber diet and a physical examination to rule out hemorrhoids or an anal fissure. Best of luck. Thanks for watching, subscribing and sharing with someone if you did.
LOL
Glad you liked it Mary Ann. Thanks for watching and subscribing