Types of Anaesthesia
Understanding the Different Types of Anaesthesia Used in Orthopaedic Surgery
When undergoing surgery for hip, knee, shoulder, elbow, or trauma-related orthopaedic conditions, anaesthesia plays a critical role in ensuring your comfort and safety. Dr McGrath works closely with experienced anaesthetists to tailor the type of anaesthesia to your specific needs, ensuring the best possible surgical experience and recovery.

What Is Anaesthesia?
Anaesthesia is a medical process that prevents pain during surgery. It can range from numbing a specific area to rendering you unconscious, depending on the type of procedure. Choosing the right type of anaesthesia depends on factors such as the nature of your surgery, your health, and your preferences.
Types Of Anaesthesia Used For Orthopaedic Procedures
Anaesthesia is a vital part of your orthopaedic surgery, tailored to ensure your safety and comfort throughout the procedure. Depending on the type and complexity of your surgery, different forms of anaesthesia may be recommended:
General Anaesthesia: General anaesthesia is commonly used for complex or lengthy orthopaedic surgeries, such as those involving the hip, knee, or shoulder. This type of anaesthesia ensures you are completely unconscious during the procedure.
Important general anaesthesiaconsiderations:
- Administered through an IV or inhaled gases
- Monitored continuously by an anaesthetist to ensure safety
- Suitable for procedures requiring extensive surgical intervention
Regional Anaesthesia: Regional anaesthesia numbs a larger area of the body, allowing you to remain awake but free from pain. It is frequently used for lower limb surgeries, such as knee or hip procedures, and can be combined with light sedation for added comfort.
Important regional anaesthesiaconsiderations:
- Spinal Anaesthesia: A single injection into the lower back to numb the lower half of your body
- Epidural Anaesthesia: Delivered continuously through a small catheter in the lower back, offering extended pain relief
- Often preferred for surgeries where general anaesthesia is not required
Local AnaesthesiaLocal anaesthesia is used to numb a specific, small area of the body, making it ideal for minor procedures or as a supplement to other forms of anaesthesia.
Important localanaesthesia considerations:
- Administered via injection at the surgical site
- You remain fully awake and aware, with no sensation in the treated area
Sedation: Sedation is often paired with local or regional anaesthesia to help you relax during the procedure.
Important Sedation considerations:
- Can range from mild (you are awake but calm) to deep (you may not remember the procedure)
- Provides a comfortable experience without the need for full general anaesthesia
The Role Of The Anaesthetist
Your anaesthetist will be present throughout your procedure to monitor your vital signs and adjust the anaesthetic as needed.
Before your surgery, your anaesthetist will contact you to discuss your medical history, overall health, and any specific concerns you may have about anaesthesia. This conversation is an important part of your preparation, ensuring the anaesthetic plan is tailored to your individual needs.
Your anaesthetist will need to know:
- Your Medical History: Including any past surgeries, allergies, or reactions to anaesthesia.
- Medications: A list of any medications, supplements, or herbal remedies you are currently taking.
- Lifestyle Factors: Information about smoking, alcohol consumption, or any other habits that could impact your anaesthesia or recovery.
- Fasting Instructions: Your anaesthetist will provide guidelines on when to stop eating and drinking before surgery.
During this discussion, you’ll also have the opportunity to ask questions or raise any concerns about the anaesthesia process.