Day of Surgery
You will be on bedrest today, unless your surgery was scheduled for early in the day. If you had your surgery early in the day, you will get up in the chair that evening. It is important that you do your bed exercises. The staff will remind you to do your bed exercises every 2 hours while you are in bed. Be sure to use the trapeze on your bed to change your position and move.
Your diet will be advanced to a regular diet as soon as you can tolerate solid food.
A respiratory therapist or your nurse will show you how to use an incentive spirometry device (IS). Use it ever 2 hours while awake. You will be asked to use the IS every hour if you have a temperature greater than 101. You will need to cough and deep breathe every 2 hours. This is important because it helps to increase lung expansion, minimize the development of pneumonia and helps the lungs get rid of the anesthesia.
You will have an IV for the next few days. Your pain medication will be given via epidural, PCA (patient controlled anesthesia device) or by an injection into your muscle. Pain control is very important. You will be asked to rate your pain on a scale of 0-10. This is important for the nurses to know if you are receiving adequate pain control. Please let your nurse know if your pain is not controlled. If your pain is under control you will be able to cough, turn, deep breath, and participate in your therapies.
You may return from surgery with a “Continuous Passive Motion” (CPM) or have it applied the afternoon of surgery or first thing in the morning. Keep the CPM on as much as you can during the day, with only brief rest periods. You will have elastic stockings on both legs and inflatable plastic sleeves. They will be removed for a short time every day. The plastic sleeves and elastic stocking are important because they promise circulation by “milking” the legs and prevent development of blood clots.