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.

This page was last updated on: November 8, 2007.

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