手术后你需要知道的事情

大家好，我是Jennifer Delong，我是希普利心胸外科中心的高级医生之一。我们在手术前后都与外科医生密切合作，无论是在手术室还是在医院。在您住院期间，您将会见到我本人或与我们外科医生一起工作的其他先进的医疗机构之一。有六件事我想让你知道。手术完成后，你将被送到重症监护室，在那里你将使用呼吸机，嘴里含着一根管子，你将处于麻醉状态。重症监护室的护士会确保你尽可能的舒适。我们的目标是让你在六小时内脱离呼吸机。当你从麻醉中醒来时，试着保持冷静是非常重要的，在ICU团队将呼吸管取出的时候，用呼吸机轻松地呼吸。你的脖子上可能会有静脉注射，手腕上也会有胸腔导管，我们会尽快以安全的方式移除所有的导管，静脉注射和导线，通常在头三天内。你的第一晚将在重症监护室度过。 The first morning after surgery the nursing staff will help you get up to the chair. It is not uncommon for you to be on medications that supports your blood pressure immediately after surgery. We work quickly and safely to get these off as well. Once all these medications have been turned off, your vital signs are stable you will be transferred to our step down unit. You will be assisted in walking to the Surgical Progressive Care Unit which is also known as SPCU with the nursing staff and physical therapy. They will assist you and have a wheelchair available if you need it for some portion of the walk. It will be important to walk at least three times a day and utilize your incentive spirometer. You will be taught how to use this by the ICU nurse and the respiratory therapist. We would like you to do this at least 10 times an hour. I recommend that if you are watching TV, you pick it up and do it three to four times on each commercial break and you will surpass your minimum goal of 10 times per hour. Another important thing to know is that we will establish a pain medication regimen that is acceptable. But you need to know while we work hard to make you comfortable we cannot make your pain free. As you progress and we remove your chest tubes we expect that your pain level will decrease. Once all of your chest tubes have been removed and you have recovered usually within five to seven days we will begin discharge planning. You will be sent home with a home health care nurse that will come and visit you the first three days in a row and after that they will establish a routine and schedule with you. They will be checking your vital signs, your wounds and have direct access to notify us of any abnormalities or problems that you may have. You will also have a follow up appointment in our post operative care clinic with one of the advanced providers who works closely with the surgeons and approximately two to three weeks following discharge. During your post operative appointment, we will go through your surgery, address any questions you have, and when you can return to normal activities. It is important for you to know that once you are discharged from the hospital, you have access to a provider 24 hours a day seven days a week by telephone. There is always somebody available to speak with you should you have any concerns or problems that need addressed after office hours. He will have ample opportunities to ask questions of the surgeons, advanced providers and our nurse navigators.