THR obese patient

Posted , 17 users are following.

Hi There, My mum due this op (one hip) in two weeks. They say no general anasthetic, only spinal (not certain yet exactly) and sedtation. My mum is +++anxiuos, almost phobic and terrified of whole op incl. recovery.  She is overweight and just ok for surgery. My questions:  Is general anasthetic an option? We are in UK. How does being obese hamper recovery, apart from the obvious. IE will pain be immediately less except for healing pain. Weight bearing will be substantial - is this a massive factor.Is she likely to need hoisted in hospital?  We see consultant tomorrow - are there any key things i should be asking. Mum is 73. Thanks 

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  • Posted

    Hi, tell your mum not to worry - I had an epidural (spinal) when I had my hip replacement 4 months ago and I am 80 years young. They give you a sedative to make you feel sleepy, inject you and then operate. Spinals are much better, even for younger people, for us elderly as the recovery time is much quicker and no after effects - tell her to go for it.

    Regards and good luck to Mum.X

  • Posted

    Hello WBoct!! Hope all goes well for your mother. As for me my first hip replacement was with spinal and light sedation. I woke up in mid operation. I could hear the sound of hammering and felt being pushed on. No pain but I was awake and aware. They noticed me awake asked if I was ok then I guess put more sedation and I was out again. Because I dislocated this hip had to have revision this time I had general anesthesia. Didn't wake up again till after surgery. Don't mean to be the bearer of bad news but that was my experience. Again best of luck to you mom. Hugs 🤗 too!! 🤓🤠. LD

    • Posted

      Thank you Linda and Ellen, ooh scary to wake but does show that even with spinal you are or should be 'out' with ligh sedation which is good to know. Thank you both for sharing it's very much appreciated. Wendy X 

  • Posted

    Hi WBoct16

    I had my THR only 13 days ago with the spinal and mild sedation! I was terrified that I would hear everything but once they give you the spinal and then the sedation you are out of it!

    I remember waking up been sick during it and I could hear a mumble of voices but then I went back to la la land!

    Woke up in recovery and was pain free!!!

    But when the spinal starts to wear off they give plenty of pain meds and tell your mum not to be afraid to ask if she needs more!

    I did for first few nights but the pain is tolerable and every day it's getting easier!

    I will say keeping up the exercises and getting out for a walk and fresh air is so therapeutic it keeps me sain and happy!

    My daughters has helped me so much so just be there for your mum and it will all be worth it

    Best of luck and 😘😘

  • Posted

    I agree with the spinal plus light sedation. It must be the most common way nowadays

    That is the way mine is planned

    Also.

    Wishing. Mom the best

  • Posted

    No spinal is fine . Tell her not to worry . I am 2 stone overweight and the op was fine . Post healing pain not a walk in the park but I have seen some really large ladies who had the spinal and all were ok . Greater risk in general anaesthetic for obese patients ... she will be ok the spinal is marvellous just tell her to say she doesn't want to know anything and you just go to sleep . I am in uk too x

  • Posted

    Hello,

    I have epedurell with sedation. I was ok.

    Good luck to your mum..

    Hug Madla💗

  • Posted

    I am clinicly obese.I weigh 220 lbs and am 4 11 inches on a good day.Im only 58 so that makes a big difference. Make sure you take a class for preparation. Have her practice ankle pumping before hand .I actually started mine in recovery room.Do get her moving as soon as possible and have her use her Incentive spirometer as soon as possible and continue to use it when you get home.Good luck.Keep posting .This forum is very helpful 😊

  • Posted

    I have just got to thr end of my first week after THR, l had the op in the manner you are talking. Moving is the biggest factor, my op was 1hr 45mins and was done by a spinal block and sedation. I was out of bed by 10am the morning after. Getting you body moving is paramount, as without movement you stiffen up and there is greater risk of DVT. I am no fairy but the hospital l went to won't take ANYONE who has a BMI over 35, because size matters to movement. Best of luck, and make sure movement is the prime word.

  • Posted

    No doubt I am heavier than I should be and I am working on it. He made me lose 30pounds before he would touch me. I got the surgery went home the next day and was taking care of myself because I went home alone. I was cooking and cleaning up after myself, dogs in and out of the house feeding the cat...I didn't take the trash out I let people coming by to check on me..I don't think  that being over weight is much of an issue..I don't remember anything about the surgery and no I can't imagine her being hoisted...make sure she has a good walker I used a rollator not the one they gave me...there is no way to carry anything on that stupid four peg legged thing the rollator has a seat and if I got tired I could stop and sit ....and it made moving things around so much easier. I had one for in the house and outside. Also a bath chair...Good luck to her

  • Posted

    Hi I have just had my second hip replacement and had spinal and sedation. Everything fine I was awake for the whole operation. I understand this is not for everyone but totally fine . I also had spinal and sedation for my previous hip replacement which was 10 years ago. A must quicker recovery time to me is worth its weight in gold. Three weeks post op now. I am managing fine walking around in the day time. My worst time is at night not being able to get in a comfortable position. Waking every couple of hours etc. I would recomend to anyone to have the spinal and sedation. Having got the t-shirt now twice so to speak. Good luck to your mum keep us updated x
  • Posted

    Thank you to everyone who has responded to my Mum's dilemma with anxiety.  She saw the surgeon and he felt her anxiety was too great to proceed.  It would hamper her recovery and she was at risk of other issues as a result.  So she has three months to get used to the idea, continue losing weight any try again. He will reconsider doing a general anasthetic if she loses more weight so that might be an option as well now. Thank you so much to all the kind people who answered my questions, i appreciate them all.  I'll post again nearer the time and give an update.  Thanks again, Wendy

    • Posted

      So sorry. That can't be easy for her, but I can understand the surgeons concern. Please do reassure her that it is so much easier than she fears. And liberating! 

    • Posted

      sounds like a good decision Wendy. ....

      she will probably be in a much better frame of mind and body by then. .

      angel blessings

      renee ❤

    • Posted

      Hi Wendy. This is a big surgery . Your mind has to be in the right place when you do it . It is far more prudent to wait for your Mom to be ready to make that leap . You might consider continuing to share stories of success from this site to help encourage her . God Bless you and your Mom.💐

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