iPad replaces sedative for knee surgery

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iPad replaces sedative for knee surgery
AAP August 11, 2013, 8:09 am

Janet Blank, 65, was the first person to use an iPad distraction method during knee surgery instead of being sedated (Plymouth Hospitals NHS Trust)

A great-grandmother has used a tablet computer to distract her during knee replacement surgery instead of being sedated.

Janet Blank, 65, is the first patient to choose the distraction method during surgery at Derriford Hospital in Plymouth.

Ms Blank was awake and "heard everything" during her total knee replacement, which she had under spinal anaesthesia last Friday.

During the two-hour procedure, the great-grandmother of 10 used an iPad to listen to her favourite radio show.

The benefits of avoiding sedation drugs include reducing sickness, drowsiness and confusion after operations.

Surgeons are also able to communicate with the patient during procedures.

Blank, who works at a local care home, said she would recommend the technique to anyone.

"I heard everything, the hammer and drill but it didn't bother me at all," she said.

"I didn't feel any pain and I actually watched the screen when they put the nerve block down my leg which was fascinating.

"I went to the recovery room after the operation and then straight up to the ward. I'd advise it to anyone.

"I didn't actually watch TV as I prefer the radio so I asked to listen to BBC Devon, the Judi Spiers show, as she's always good and makes me laugh."

The new iPad was on loan from the South West Regional Anaesthesia Group.

Matt Oldman, consultant anaesthetist, said: "By avoiding sedating anaesthetic drugs during the procedure we can reduce side effects such as sickness, post-op drowsiness and confusion. Staying awake may also be a safer option for patients with certain medical conditions. Another added advantage is that the surgeon can communicate with the patient during the procedure.

"The use of spinal anaesthetics for this type of surgery is not new but until now we have not had anything to offer our patients as a distraction and as a result many patients have opted to have sedation throughout the procedure to avoid hearing or seeing anything.

"Typically the procedures last between one and two hours, which is a long time to expect someone to lie still. But with the new iPads we can offer a choice of music, films and television using the trust's free WiFi."

Ms Blank is looking forward to returning to her twice weekly gym classes and being kept busy by her 18 grandchildren and 10 great-grandchildren.

"I'm glad to get it over and done with. I've been in a lot of pain, and especially leading up to the operation, but I won't give in to it. It's much better now," she added.

"There is still some discomfort but not nearly as bad as it was.

"I was up and walking with a frame on Sunday and this morning I've been practising steps with the physio."