Hip Replacement Surgery- Pre-OP Guide |
Posted: January 29, 2021 |
“Hip replacement surgery is a complex procedure & you should follow a proper guideline suggested by your doctor or surgeon. You should also consult a physiotherapist as he will help to improve your condition & will make sure that you are ready for the surgery.” Says Dr. Ajay who is the founder of one of the best physiotherapy clinic in Mulund. Hip replacement surgery is one of the biggest decisions of someone’s life & if you don’t follow the guidelines it may actually cause you many problems. So in this article, Dr. Sandeep will share some important information with you as you prepare for your total hip replacement surgery. Dr. Sandeep is one of the best orthopedic doctor in Bhubaneswar.
Pre-OP Guideline
Your pre-surgery workup visits should be done within 30 days before surgery. This visit can take from two to six hours. During this time you will have a physical exam and check-in with admissions. You may also meet with an anesthesia specialist. The complete physical exam may be done by your primary medical doctor or surgeon depending on your medical conditions and insurance coverage. The physical exam may include blood work, an EKG or electrocardiogram, x- rays, and other tests depending on your medical condition.
Your doctor may discuss donating your own blood in the event you need a transfusion during or after surgery. The doctor will discuss any medications to stop prior to surgery which may include herbal products, non-steroidal anti-inflammatories, anticoagulants, aspirin, and other medications. In all major surgeries there are risk factors associated with it. Your doctor or surgeon will discuss these with you. We strongly suggest you quit smoking before surgery as smoking will impair bone healing and could have a very negative impact on the outcome of your surgery. We also recommend avoiding passive smoke for the same reasons. If you need assistance to quit please speak with your doctor or nurse.
You should plan to discharge after spending three nights in the hospital. After you're discharged you will continue to work on your rehabilitation and recovery. Some patients are discharged to their home others benefit from discharging to a skilled nursing facility for a period of time prior to returning home. It is important to prepare your home before surgery whether you go directly home or to a skilled nursing facility. To prepare your home in advance you may want to move frequently used items from lower shelves to waist level for easier access. To prevent falls at home rugs clear furniture from pathways and take steps to declutter your home. Watch out for pets that may run in your path.
You and your family play an important role in making plans for your discharge to home. Someone will need to drive you home after discharge. If you have a choice a four-door vehicle is best for transportation. If you need help with the ride home be sure to let your nurse know well in advance.
You should plan for someone to be with you the first night you are home. You may want to make arrangements for help with meals, child and pet care, and household chores such as laundry, vacuuming, and yard work. Some patients have found it helpful for family members or friends to prepare and freeze meals in advance. Most patients who go home need home health services for blood draws and physical therapy.
Most patients who have had a total hip replacement will need to take a blood thinner medication to prevent blood clots for two to four weeks after surgery. Your doctor will decide how long you need to take this medication before you are discharged. Depending on the blood thinner your doctor orders, blood draws may be necessary to monitor the effectiveness of the medication. During your home health visit, the nurse will draw your blood and may also check your incision. physical therapy plays an important part in your recovery. If you discharge to your home arrangements will be made for a physical therapist to come to your home at times. Patients are able to go to physical therapy at an outpatient clinic. The night before surgery do not drink alcohol after 8 p.m. and do not eat solid food after midnight. Do not drink milk or juice with pulp after midnight. Stop drinking clear liquids four hours before your surgery. Examples of clear liquids include water, popsicles, carbonated beverages, juices without pulp or solid material, tea without milk or creamer, coffee without milk or creamer.
It is important that you follow the instructions provided by your doctor. If the instructions are not followed your surgery may be canceled. A nurse will call you the day before surgery to review instructions, inform you what time to arrive at the hospital and the location of where you should go. If you have questions about your pre-op preparation please be sure to ask the nurse when she calls.
On the day of surgery, plan to arrive at the hospital at least 2 hours prior to your scheduled surgery time. A nurse will ask you questions about your health and help you get ready. A member of the anesthesia team will also meet with you and place an IV for fluids and medication. Surgery may take 2 hours or longer. Your family will be directed to the surgical waiting area where they will wait while you are in surgery. They will be notified when your surgery is finished your doctor will talk with them in the surgical waiting area after your surgery is done. Staff in the surgical waiting area will direct them to your room.
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