Enhanced Recovery Together

    Anaesthesia & Your Surgery

    Surgery is only half the story. Paddy Subramanian works with consultant anaesthetist Dr Sagar Tiwatane to plan an anaesthetic that gets you comfortable, mobile and home sooner.

    The anaesthetic matters as much as the operation

    For many patients, questions about the anaesthetic are just as pressing as questions about the surgery itself: will I be awake, will I feel sick, how quickly will I recover? Modern anaesthesia is central to the enhanced-recovery pathway: the right technique means less pain, less nausea, earlier walking and, for many suitable patients, going home the same day.

    A consultant-delivered anaesthetic team

    Paddy Subramanian works closely with consultant anaesthetist Dr Sagar Tiwatane, a specialist in anaesthesia for hip and knee replacement and a key part of the day-case joint replacement pathway. Planning the anaesthetic together, in advance and around your health, is one of the reasons patients on this pathway recover so quickly.

    What to expect

    Most joint replacements are performed under a spinal anaesthetic with sedation (you are comfortable and unaware, without the grogginess of a full general anaesthetic), and pain relief continues after surgery through targeted local anaesthetic techniques. A general anaesthetic remains available where it suits you better. Everything is discussed with you at pre-assessment, and nothing is decided without you.

    Paddy Subramanian and Dr Sagar Tiwatane in theatre with the surgical robot
    Paddy Subramanian and Dr Sagar Tiwatane in theatre with the surgical robot. Surgery and anaesthesia planned as one team.
    Learn More About Dr Sagar Tiwatane

    Take the first step today

    Living with hip or knee pain does not have to be permanent. Book a consultation and find out exactly what is wrong, what your options are, and what life could look like without the pain.