{"id":2706,"date":"2016-03-22T15:30:00","date_gmt":"2016-03-22T19:30:00","guid":{"rendered":"https:\/\/med-anesthesiology.sites.unc.edu\/enhancedrecovery\/for-patients\/thoracic\/"},"modified":"2017-10-27T13:38:27","modified_gmt":"2017-10-27T17:38:27","slug":"thoracic","status":"publish","type":"page","link":"https:\/\/www.med.unc.edu\/anesthesiology\/enhancedrecovery\/for-patients\/thoracic\/","title":{"rendered":"Thoracic Surgery"},"content":{"rendered":"

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Team <\/a><\/div>\n
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Thoracic Surgery Team<\/a><\/div>\n<\/p><\/div>\n<\/p><\/div>\n
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Surgery Website<\/a><\/div>\n
Thoracic Surgery Website<\/a><\/div>\n<\/p><\/div>\n
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Before Surgery<\/a><\/div>\n
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Carbohydrate drink<\/span>
\u2022You will consume clear liquids including Gatorade 2 hours before arrival time<\/span>.<\/span><\/div>\n
Health Assessment
\u2022 Includes baseline blood pressure and ideal body weight assessments. <\/span>
\u2022 Referral to smoking cessation program when appropriate.<\/span><\/span><\/div>\n
Incentive Spirometry
\u2022 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. <\/div>\n
Fluids before Surgery
\u2022You will receive IV fluids before surgery to provide hydration.<\/div>\n<\/p><\/div>\n<\/p><\/div>\n
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During Surgery<\/a><\/div>\n
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Antibiotic Prophylaxis
\u2022 Will be given within 1 hour of incision.<\/div>\n
Tailored Anesthesia Care<\/span>
\u2022 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.<\/span><\/div>\n<\/p><\/div>\n<\/p><\/div>\n
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After Surgery<\/a><\/div>\n
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Postoperative Pain Management<\/span>
\u2022 Pain will be treated with several different oral medications to target different pain receptors. Additionally, an epidural may be offered to help with pain for some surgical procedures as mentioned above.<\/span><\/div>\n
Tubes and Catheters
\u2022 The nasogastric tube and foley catheter should be removed on postoperative day one unless specified by the surgical team.<\/div>\n
Pulmonary Wellness Strategy
\u2022 You will be encouraged to use incentive spirometry and to use a bedside log book to record their maximum volume efforts each hour while they are awake.<\/div>\n
Activity
\u2022 You should be out of bed and walking by postoperative day 1.
\u2022 Daily ambulation goals will be set by the medical team and their completion encouraged by nursing staff.<\/span><\/div>\n<\/p><\/div>\n<\/p><\/div>\n
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Educational Materials<\/a><\/div>\n
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