Maximum people stay in the hospital for 5 days afterwards this surgery, dependent on the type of process they had. Utmost often, the recovery from this process is sooner and with less pain than with open surgery. Likewise, you will most expected be able to go home earlier.
WHILE IN ICU
Remain in the intensive care unit (ICU), where you will be observed very carefully at first
Take a urinary catheter
Be there with given medications to thin your blood
Stay stimulated to be seated on the side of your bed and then walk
Dress special leggings to stop blood clots in your legs
Obtain pain medicine into your veins or into the space that surroundings your backbone cord (epidural)
You may have some tubes or blood lines sticking out of your body in addition to some wires to continously watch your ECG, BP and blood oxygen levels.Though these may give a little bit of incovenience to you, please bear that these are just some safety precautions just to make you safe. One by one these tubes and wires will be removed there by minimising your discomforts day by day.
You will be upon by the specialised nursing staff to take food, wash your your mouth, brush your teeth, washing your body.etc. The will be happy to look after you like their own father or mother because they consider this as their divine duty. Please feel free to ask for any help.
WHILE IN THE WARD
After one or two days of stay in ICU you will feel that you are getting back to your normal self.
Only you recquire a little help in one of the little difficult part of your self. The staff of Intensive care unit will be so dedicated and will be watching you well. The team there will have a post-operative specialist, nurses, physiotherapists ,Dietician,Psychologist,etc
Once the team assess that you can be your own,decision will be taken to shift you to your hospital room under the care your relatives with some instructions. Instructions will be given regarding infection prevention, excercises, breathing excercises,moving about, how to reduce the pain, how to get up from the bed,etc
The nurses in the wards will help you with the medications, charting your heart rate, checking BP and Sugar. As some problems are not uncommon, you and your relatives will be briefed upon about the alarming signs when you have to alert the nurses nearby.
PREPARING TO GO HOME
Once your stay in the ward is comfortable you and your close one get the confidence to go home .
You will be asked to walk around the hospital verandha, climb steps, etc. A day prior to your planned discharge once again your heart will be checked by an ECG,Echo machine,an xray and some blood tests. Meanwhile the doctors will take care of your heart rate, BP, Sugar,etc. Your wounds will be checked and dressed daily and the healing status told to you.
Day prior to your discharge the following instructions will be given
1. How to take of the wound and preventing infection
2. Home monitoring of Heart rate, BP, Sugar, temperature
3.Relaxation techniques to reduce the pain
4.The excercise and food patterns at home
5.How to prevent swelling of the legs
6.What to do in case of lack of sleep or excercise
Monitoring essentially means keeping a watch on your heart rate, BP,Temperature, Diabetic status by the nursing staff. The advantage in hospital is that you get immediate attention, intravenous medicines can be administered, medicines altered looking at your monitored readings. With the improvements in technology both in medicine and information, some of these can well be done within the comforts of ones own home. An electronic BP apparatus, glucometer, weighting machine, thermometer ,steamer ,Nebuliser ,etc are some of relatively cheap instruments one can have at home to take care of our own health
WHILE AT HOME
You have almost recovered. Need another two weeks of restriced activity confined to interiors and just around your premises. Day by by you can feel the improvement. The rare problems while at home may be slight breathless which may be due to water collection in chest or lungs, little bit lack of controll in BP and sugars, lack of sleep and apetite which may be signs of post-operative stress.
The signs you should take seriously are increasing brethlessness after the discharge, fresh swelling and discharge from the wound,fever ,etc in which case you should take medical help.
If the first two weeks went without any discomfort you can increase your level of movement outside home like worship places, public parks or shops. However avoid a long journey especially alone
HOW LONG THE CHEST BINDER HAS TO BE WORN ?
Bonehealing take one and half months to complete.Normally if you get a fractured bone, that area has to be immobilised in a plaster of paris cast or fixed internally with steel wires. Since that is not possible in case of the breast bone the immobilidsation is achieved by a chest binder. Usually you can get away with the chest binder in the night after the first few days, it is better left there even in nights in case of cough,breathing difficulty,etc
WHY LEG BANDAGES ?
Sometimes veins are are taken from the legs for bypass. The purpose of veins in the legs is returning of blood to the heart. There are superficial and deep system of veins. We are taking only one of the superficial branch of the veins. Since there are many other branhces ,usually nothing happens .
Some people however can develop little bit swelling of the legs contributed by loss of blood and body proteins associated with the operation. Leg bandages are adviced to prevent this complication of leg edema. Usually it has to be worn for two weeks.
Legbandages again may not be worn during nights. Usually it is adviced to have two sets of of bandages so that avoid applying the soiled set of bandages.
PREPARING TO GO BACK TO WORK
Once you feel completely recoverd and regained confidence, next big step is make sure everything is normal from your doctor and get ready to the routine you were used to. Actually this is the very purpose of your operation is to get you back to your work. Normally this is achieved after a thorough check up by your physician four weeks after you operation. This check up will have your heart rate, bp,weight, ECG,ECHO,CXR,HB,Cholesterol,Kidney and liver function checked..If everything was found under controll you are ready to go back to work with minimum possible medicines.
NEXT CHECK UPS
You need checkps furthur at six months and every year afterwards. Each time blood tests,ecg,echocardiogram,stress ecg,tests of liver and kidnies ,etc has to be carried out.
LIFE STYLE MODIFICATION
You only had your blocks bypassed. What caused your blocks are still going on your body. Those are unontrolled BP, uncontrolled sugar, stress, smoking, unhealthy food habits, sedentary habits, herdity,etc. You need steps to mitigate these factors so that your life expectancy is not hampered just because you had some blocks