Surgical Care
Postoperative Management
Recovering from surgery:
Once surgery has been completed, you are brought to the recovery room, which also may be called the post-anesthesia care unit. In the recovery room, clinical staff will closely monitor you as you recover from anesthesia. The length of time spent in recovery depends on the type of surgery performed and the individual patient. While a patient is in recovery, the clinical staff may do the following:
- monitor vital signs such as blood pressure, pulse, and breathing
- monitor for any signs of complications
- take the patient's temperature
- check for swallowing or gagging
- monitor the patient's level of consciousness
- check any lines, tubes or drains
- check the wound
- check intravenous infusions
- monitor the patient's bladder distention
- maintain the patient's comfort with pain medication and body positioning
A patient can aid the speed of recovery by doing certain breathing and moving exercises in the recovery room. Always consult with your physician before trying the following:
- Deep breaths - Lying flat for an extended period of time
can cause fluids to accumulate in the lungs. Taking deep breaths utilizing
the entire diaphragm and abdomen can prevent pneumonia from setting in.
- Spirometer - Sometimes patients will use a spirometer (a
machine that measures total volume of air breathed out) before surgery to
measure their deep breaths. Then, after surgery, that measurement becomes
the goal in recovery.
- Coughing - Coughing helps remove chest secretions, which
is another way to prevent pneumonia.
- Turning - Changing positions while in the recovery bed helps
stimulate circulation, deeper breathing and relieves pressure areas.
- Foot and leg exercises - Moving the legs and feet stimulates
circulation. Depending on the type of surgery, patients are encouraged to
bend the knee and raise the foot several times, to "bicycle" and
to draw circles with their great toes. You may be asked to wear special elastic
stockings to stimulate circulation.
What is intensive care?
Sometimes a patient is transferred to the intensive care unit (ICU) for further, close monitoring. Intensive care is most often needed for patients on artificial ventilation, for patients recovering from heart attacks or major surgery, for patients in shock, and for patients with acute renal failure. In intensive care, clinical staff closely watches the patient 24 hours a day.
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