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Team TAVR Surgery Website Before Surgery

Carbohydrate drink

  • You will consume clear liquids, then Ensure 1 hour before arrival time.

Health Assessment

  • Includes baseline blood pressure and ideal body weight assessments.

Cognitive Assessment

Frailty Assessment

  • Grip strength test
  • Quality of life questionnaires
  • Five meter walk tests
  • Assessments of activities of daily living

Preoperative Patient Education and Wellness Programs

  • In-depth patient and family education about procedure and post-operative expectations
  • Referral to Clinical Walking Program at UNC Wellness
  • Referral to physical therapist and nutritionist when appropriate

Incentive Spirometry

  • You will be provided with an incentive spirometer and educated on its use. You will be encouraged to record their daily progress in a log book, which will also be provided.
During Surgery

Antibiotic Prophylaxis

  • Will be given within 1 hour of incision.

Tailored Anesthesia Care

  • Evidence-based, best practice recommendations will be used throughout the surgery to ensure individualized blood pressure management, prevention of blood clots, careful IV fluid administration, and medication administration.
After Surgery

Postoperative Pain Management

  • Pain will be treated with several different medications to target different pain receptors.

Pulmonary Wellness Strategy

  • You will be encouraged to use incentive spirometry and to use a bedside log book to record maximum volume efforts each hour while awake.

Activity

  • Daily ambulation goals will be set by the medical team and their completion encouraged by nursing staff.
Educational Materials