Operations and anaesthetics.

Discussion in 'I have a partner with dementia' started by Mossyanne1, Apr 22, 2015.

  1. Mossyanne1

    Mossyanne1 Registered User

    Feb 10, 2015
    45
    Can anybody tell me if anaesthetics can make the alzheimers worse and if so how long will it last. Thank you.


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  2. Canadian Joanne

    Canadian Joanne Volunteer Moderator

    Apr 8, 2005
    16,105
    Toronto, Canada
    I have no personal experience but yes, I have heard that a general anaesthetic can have a negative impact on dementia. The person can improve but not necessarily to where they were prior to surgery.

    However, this disease is so variable it's impossible to say.

    My sister and I decided against a general anaethetic for my mother because we were told the surgery (cataract removal) would only marginally improve her quality of life.
     
  3. chick1962

    chick1962 Registered User

    Apr 3, 2014
    11,278
    Female
    near Folkestone
    Yes it can make it worse as we are facing that decision at the moment ! Confusion after op might only be for days/weeks but can also be permanently. We are weighing up the risk at the moment as my OH needs a big op! I think quality of life and age comes into it and perhaps how much understanding of op the person with dementia has?! But the surgeon will talk it through with you all first . Xx


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  4. Caroleca

    Caroleca Registered User

    Jan 11, 2014
    332
    Ontario canada
    Yes. I believe that it can be dangerous. Mom needs minor surgery for a very large prolapse(poor ma) but Dr. Says...no way....not worth it...she could wake up with all kinds of issues.
    Carole
     
  5. Mossyanne1

    Mossyanne1 Registered User

    Feb 10, 2015
    45
    Thank you all so very much, unfortunately my hubbie has to have an operation on a hernia, specialist was quite insistent, apparently it's a nasty one and if it strangulates it could be fatal. So I'm between a rock and a hard place.


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  6. marionq

    marionq Registered User

    Apr 24, 2013
    5,848
    Female
    Scotland
    Would you be able to stay in the hospital with him so as to limit his confusion and see that he doesn't try to get out of bed? These are main problems in the hospital and often worsen the physical situation. You would also be able to help him eat and drink properly
     
  7. Izzy

    Izzy Volunteer Moderator

    Aug 31, 2003
    59,580
    Female
    Dundee
    I can't agree enough with that. If it's at all possible I would do that.
     
  8. Mossyanne1

    Mossyanne1 Registered User

    Feb 10, 2015
    45
    Thank you Marion very good idea, I will ask the powers that be tomorrow at his pre-op. Very nervous stomach about the whole thing, I love him to bits and it is all very upsetting.


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  9. CeliaThePoet

    CeliaThePoet Registered User

    Dec 7, 2013
    614
    Buffalo, NY, USA
    My 84 year old mother with dementia was very ill with a strangulated hernia. The operation and healing went fine, but the delirium for 11 days after was the most horrible experience we've been through and I would do anything to avoid it in future. She hallucinated, called me screaming that she was being murdered, she ripped out tubes and her own stitches, and I was told she could not return to her assisted living place. The hospital tried to kick her out prematurely as early as day 4. It calmed down and she then remembered nothing of the experience, but I don't consider that a success, at all. They did not have many options for us other than surgery, same as your situation. I'm sorry I don't have more positive things to say to you. Best of luck.
     
  10. dumpygirl

    dumpygirl Registered User

    Nov 20, 2013
    115
    derbyshire
    My husband who has heart trouble and alzeimers had his hernia operation a couple of years ago. A general anaesthetic was not recommended and it was done with an epidural which worked really well. He was only kept in one night and has not been any trouble since. Perhaps an epidural might be suitable for your husband.
    Good luck with whatever you are facing.
     
  11. jaymor

    jaymor Volunteer Moderator

    Jul 14, 2006
    12,486
    Female
    England
    My husband had a hernia operation because of the dangerous complications and though he was more confused after the operation and for a couple of weeks after, he did return to where he was before the operation as far as his dementia state.nThe decision to allow the operation was based on the surgeons prognosis if it was not done.

    Speak with the consultant or surgeon to see what the situation would be if the hernia was not operated on.
     
  12. Mossyanne1

    Mossyanne1 Registered User

    Feb 10, 2015
    45
    Hi Jaymor, the surgeon was in no doubt that my hubbie needs this operation. I am definately going to ask if an epidural could be an option. He has atrial fibrillation and is on warfarin tablets, consequently he will need injections for 5 days prior to the op. Hey Ho!!! Thank you all for your input, so grateful...xxx


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  13. Cath59

    Cath59 Registered User

    Jan 23, 2015
    46
    My mum had a hip operation last Wednesday. Anaesthetic and op both essential, so no choice. We've had a pretty rough time, and yesterday she was the worst I've ever seen her. She didn't have a clue where she was, who anyone was, was very angry and miserable and had refused to do anything the physios wanted her to. I've just had a phone call from the discharge nurse. They can't believe how much better she is today. She's been up, cooperating etc, and they're sending her back to her care home while she's well! (Good idea, as she's had a few hospital admissions recently and she's always much worse in hospital than out). After last night I find it really hard to believe things have changed so much, but that's the eighth day after the anaesthetic, so thought I'd add it to the thread. Looking forward to seeing her later today :)
     
  14. Owly

    Owly Registered User

    Jun 6, 2011
    538
    #14 Owly, Apr 23, 2015
    Last edited: Apr 23, 2015
  15. WIFE

    WIFE Registered User

    May 23, 2014
    857
    WEST SUSSEX
    My poor husband had mild dementia, suffered very severe post operative delirium due to the anaesthetic following a hip fracture and was not able to return home before ending his days in a Nursing Home due to the extreme dementia and medical problems exacerbated by anaesthetic. Avoid if you possibly can!
     
  16. Mossyanne1

    Mossyanne1 Registered User

    Feb 10, 2015
    45
    Hi all, OH had his pre-med yesterday it took 3 hours, waiting here and waiting there. They agree that he should stay in overnight and are trying to go for an epidural. Trying not too think too much about it. Thank you all for your advice, very grateful.


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  17. Spamar

    Spamar Registered User

    Oct 5, 2013
    6,971
    Suffolk
    I've had a hip and knee replacement, both done with an epidural and light anaesthesia, just so I wasn't awake. Some surgeons prefer it, I think.
    OH had a femero-popliteal vein graft last year and he had epidural as well. He promptly removed epidural ( don't know how!). Cannula and drains, but apart from that it all went OK. The only problem was a nurse who definition of sterile technique was at odds with reality, which led to infection. Can't blame OH for that one!
     
  18. Cath59

    Cath59 Registered User

    Jan 23, 2015
    46
    #18 Cath59, Apr 24, 2015
    Last edited: Apr 24, 2015
    Just rereading my overly optimistic post yesterday. Yes, my mum had been "difficult " but the orthopaedic ward was obviously so keen to get rid of her only 8 days after her hip op that they sent her back to her care home with suspected UTI, water retention and fast AF. Spent most of the afternoon and evening with her being readmitted to hospital. Oh, and home not expecting her quite so quickly didn't have a hospital bed ready so she rolled out of bed this morning. So much unnecessary stress and discomfort for her. Can I scream now?
     
  19. Mossyanne1

    Mossyanne1 Registered User

    Feb 10, 2015
    45
    Hi All,it's so difficult to know what the best is for OH and for myself. I'm having to give him injections in his stomach in the mornings as he has had to come off his warfarin. Never given one in my life but it went better they I thought it would. I don't think he was really awake. Have been out with the dogs but oh such confusion. Can I scream as well PLEASE!!!


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  20. Trishab

    Trishab Registered User

    Jun 1, 2014
    2
    Northumberland UK
    Yes it can. In my mother's case she had an anaesthetic whilst in early onset. She went into hospital as one person and came out as someone else. A year later following fairly rapid deterioration of the dementia she had to have another anaesthetic but this time the effect wasn't so dramatic but there was definitely additional confusion which hasn't gone away. Hope this helps
     

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