Orthopaedics: The Charles J August Joint Replacement Center

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Four Weeks before Hip Replacement Surgery

Select your coach

Your coach will be your personal cheerleader, supporting you through the entire surgery process and keeping you safe and focused on healing during your recovery at home. Choosing a close friend or family member to be your coach – someone who is a part of your daily life - is a very important part of your recovery.

Your coach's job is to simply provide ongoing support - to attend your pre-operative class, help you during exercise classes and your stay at the hospital, and ensure you stay on track with your exercises after returning home. Your pre-op class is a great time to learn more about the coach role, so be sure to bring your coach along!

Importance of Your Coach

The people that you find in your daily life, friends and family, are obviously important to you.

In the process of a joint replacement, the involvement of a family friend or relative acting as your coach is very important. Your coach will be with you from the pre-op process through your stay in the hospital and to your discharge to home. They will attend pre-op class, give support during exercise classes, and keep you focused on healing. They will assure you continue exercising when you return home and see that home remains safe during your recovery.

Understanding Anesthesia
Total Joint Surgery does require the use of either general anesthesia or regional anesthesia. Please review "Understanding Anesthesia" in section Six. If you have questions please contact the Orthopaedic Program Director or your surgeon's office.

Click here to read an article on the anesthesia process.

Start Iron, Vitamins

Prior to your surgery, you may be instructed by your surgeon to take multivitamins as well as iron. Iron helps build your blood, which is especially important if you plan to pre-donate your own blood.

Joint Outcomes Program

To assure continued excellence, you can assist us by providing feedback on your experience. Hearing from our patients from the time of discharge to perhaps a year later allows the Joint Center to always strive to improve. You may be asked to participate in these surveys - please answer honestly - it is your opportunity to tell the Joint Center what you feel went well and what might have room for improvement.

Who are the anesthesiologists?
The Operating Room, Post Anesthesia Care Unit (PACU) and Intensive Care Units at the hospital are staffed by Board Certified and Board Eligible physician anesthesiologists. Each member of the service is an individual practitioner with privileges to practice at this hospital.

What types of anesthesia are available?
Decisions regarding your anesthesia are tailored to your personal needs. The types available for you are:
- General Anesthesia provides loss of consciousness.
- Regional Anesthesia involves the injection of a local anesthetic to provide numbness, loss of pain, or loss of sensation to a large region of the body. Regional anesthetic techniques include spinal blocks, epidural blocks, and arm and leg blocks. Medications are also given to make you drowsy and blur your memory.

Will I have any side effects?
Your anesthesiologist will discuss the risks and benefits associated with the different anesthetic options as well as any complications or side effects that can occur with each type of anesthetic. Nausea or vomiting may be related to anesthesia or the type of surgical procedure. Although less of a problem today because of improved anesthetic agents and techniques, these side effects continue to occur for some patients. Medications to treat nausea and vomiting will be given if needed. The amount of discomfort you experience will depend on several factors, especially the type of surgery. Your doctors and nurses will do everything possible to relieve pain and keep you safe. Your discomfort should be minimal, but do not expect to be totally pain-free. The staff will teach you the pain scale to better assess your pain level.

What will happen before my surgery?
You will meet your anesthesiologist immediately before your surgery. Your anesthesiologist will review all information needed to evaluate your general health. This will include your medical history, laboratory test results, allergies, and current medications. With this information, the anesthesiologist will determine the type of anesthesia best suited for you. He or she will also answer any further questions you may have.

You will also meet your surgical nurses. Intravenous (IV) fluids will be started and preoperative medications will be given. Once in the operating room, monitoring devices will be attached such as a blood pressure cuff, EKG, and other devices for your safety. At this point, you will be ready for anesthesia. If you would like to speak to your anesthesiologist before you are admitted to the hospital, this can be arranged through Surgical Pre-Testing. (Refer to Section 6)

During surgery, what does my anesthesiologist do?
Your anesthesiologist is responsible for your comfort and well-being before, during, and immediately after your surgical procedure. In the operating room, the anesthesiologist will manage vital functions, including heart rate and rhythm, blood pressure, body temperature, and breathing. The anesthesiologist is also responsible for fluid and blood replacement when necessary.

What can I expect after the operation?
After surgery, you will be taken to the Post Anesthesia Care Unit (PACU) where specially trained nurses will watch you closely. During this period, you may be given extra oxygen and your breathing and heart functions will be observed closely.

May I choose an anesthesiologist?
Although most patients are assigned an anesthesiologist, you may choose one based on personal preference or insurance considerations. If you have questions about your insurance coverage or medical plan participation by the anesthesiologist, please contact your insurance company for guidance.

Requests for specific anesthesiologists should be submitted in advance through your surgeon's office for coordination with the anesthesiologists’ availability.

Our team earned The Joint commission's Gold Seal of Approval.
Unity Health The Charles J August Joint Replacement Center
1555 Long Pond Road   |   Rochester, NY 14626
(585) 368-4545