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Jul 20, 2018 03:52PM
Wow. Arterial line, 2 IV lines, jugular IV, for a knee replacement? I don't get it.
I had most of the nodes removed from the left axilla and so far haven't had issues with LE (thanks, God) but I'm very careful with my left arm. No pokes, BPs, nothing. But my right side is unaffected and I get injections, lab draws, and BPs on that arm.
I had both knees replaced in the same surgery in 2016. One IV in the right arm, BPs done on right arm. After anesthesia recovery I was snoring in my regular room for a couple of hours, when the physical therapists arrive to help me walk to the bathroom. Oral pain meds only. They really, really don't want you lying around after surgery. Up and at 'em.
An IV in the foot or leg is just not frequently done. The circulation is poor, it's an infection risk, and some say it can increase the chances for a blood clot higher up in the leg. If your team insists on two IVs, don't worry about the jugular. It's an easy stick and it's done all the time in the emergency department. It won't be there for long.
An arterial line would be placed in your inner wrist above your thumb, right where you feel the pulse. It's an easy way to keep track of BP, but knee replacement surgery is relatively quick, and an arterial line sound like overkill (so to speak...heh...). Still, if you don't want BPs done on your upper arm, it's an OK alternative.
Can you have an arterial line and an IV in the same arm? Technically yes--one's in an artery and the other in a vein, so they don't get in the way of one another.
Congratulations on getting close to your new knee! I love mine. They're straight, strong, and painless. Blessings--SB
10/20/2011, IDC, Left, 1cm, Stage IIIA, Grade 2, 6/28 nodes, ER+/PR+, HER2-
12/15/2011 Adriamycin (doxorubicin), Cytoxan (cyclophosphamide), Taxotere (docetaxel)
4/18/2012 Mastectomy: Left
5/21/2012 Breast, Lymph nodes
7/19/2012 Femara (letrozole)
4/15/2013 Reconstruction (left): DIEP flap; Reconstruction (right): DIEP flap