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Dr. Jashvant Patel 1st nominated by : The American Biographical Institute for GREAT MINDS OF THE 21ST CENTURY

Dr. Jashvant Patel 1st nominated by : The American Biographical Institute for GREAT MINDS OF THE 21ST CENTURY

Surgery Packages
Special Economical Packages
Your Good Health
Is Our Priority
What You Should Know Surgery
Prior to Surgery
The average hospital stay after heart surgery is about 7 days. Hospitalization can vary greatly depending on the type of operation performed and the degree of disability before surgery. Home recuperation continues over a period of eight to twelve weeks after discharge. Before your operation ask your doctor about activities and limitations during the convalescent period.
Blood donation.
People who undergo heart surgery will need some blood transfusion during and possibly till few days after surgery. The amount required will vary depending upon the particular surgical procedure. However, 4 units of blood are kept ready in the blood bank before the surgery is undertaken. 
Emotional Preparation
Emotional preparation for surgery is as important as the physical preparation. Both factors will play an important role in the ease and speed of your recuperation. It is normal and natural to be anxious and concerned about your heart surgery. The best thing you can do is to discuss your concerns openly and frankly, with those who can assist you, such as your family physician, the cardiac surgical team, the nursing staff
Breathing Exercises
While you are in the hospital awaiting your scheduled surgery, certain preparations will take place before the operation. Preparation of the lungs is one of the most important activities as lungs are vulnerable to infection and other problems after major surgeries like open heart surgery. This includes exercise like deep breathing and instruction for coughing. To help with deep breathing and coughing, the patient will be instructed by the hospital staff and will be encouraged to practice preoperatively

By carefully following your physician's instructions you will begin receiving the benefits of slow, deep breathing exercise. With the help of this program, you can hasten your recovery and you should be well on your way towards better breathing.
The day before
You will have many visitors from the hospital staff. The anesthesiologist will come to visit you preoperatively to discuss how you will be put to sleep, and how all your vital functions will be monitored during surgery and for a time after surgery. He/she will ask for information about your medical and surgical history, especially any allergies. Members of the cardiology staff will also be coming to examine you and they will be following you along with the cardiac surgical team during your hospital stay. Members of the laboratory staff will be coming to obtain numerous blood and urine samples so that abnormalities, if any, may be detected.
On the evening before surgery, hair over your body will be shaved. This is to reduce the chance of any infection. In addition, you will be asked to shower with a special cleansing soap to prepare your skin for surgery.
Remember to:
Hand-over personal items, clothing and all valuables, including rings, to your relations for taking them home. Slippers, dentures, glasses, toilet articles, hearing aids etc. may also be taken back and can brought again to you one or two days after the operation when the need arises.
Nil orally after midnight
You also may find that some of your cardiac medication may be adjusted in the day immediately before surgery. After midnight, you will told not to eat or drink anything except sips of water for some medications, if need be. You will be given medication so you can sleep well. Communication Since the operation is long, and visiting is restricted, unnecessary crowding in the hospital is not encouraged. After the operation, the doctor will contact the family waiting in the lobby, through the receptionist. One of the attendants will be able to visit the patient in the recovery room and talk to the surgeon about the surgery.

Morning briefing

Daily briefing session is held every morning in the Medical Social Worker's office on the ground floor, to brief your attendants about your progress and future plan while you are recuperating in the postoperative critical care areas.

Before shifting to operating room

On the morning of surgery, you will be given medicines and injections. These are prescribed by your anesthesiologist and are intended to make you feel better, control anxiety and may make you somewhat drowsy. The side-rails will be placed up so as to act as a subtle reminder not to get out of bed without assistance. Shortly after receiving these medications, you will be transported to the operating room. Those in distant wards are not given the sedatives.

In the Operating Room

Once in the operating room your anesthesiologist will begin intravenous fluids and attach you to the electro-cardiogram monitor. Anesthesia will then be administered.Most of the patients who undergo open-heart surgery have their surgery performed through splitting of breastbone. This means your incision will extend from where your breastbone begins (slightly below your clavicles) to about where it ends. To close the incision, the two edges of breastbone are wired together. These wires remain in the bone permanently (the only time you will be able to see the wires is if you have opportunity to see your chest X-ray). The skin on the chest is closed with sutures. The entire procedure takes about 5-6 hrs.
Know the wards you will be in after surgery
You may be spending time in some or all of these units prior to your discharge from the hospital.
Recovery Room (RR)

When the operation is finished you will be taken to the Recovery Room (RR) or Intensive Care Unit. These areas are designed specifically to give you constant specialized care and monitoring. Doctors, nurses and other highly skilled people work together with you toward the goal of a smooth recovery. Most patients remain in the Recovery Room for approximately 24 hrs. Some patients may have to remain longer if deemed necessary. Since visiting is limited to one person per patient and is very brief, it is recommended that it be restricted to the immediate family.
Intensive Care Unit (ICU)

The Intensive Care Unit like RR, has been specially designed and equipped to provide maximum nurse observation and care of patients during the period of recovery. Much patient centered activity occurs in both these areas. You may find the Intensive Care Unit a bit strange. For one thing, it is hard to keep track of time in a place where the lights are always on and there is a constant bustle of activity. Under such conditions, it is possible that your senses will mislead you and you will feel somewhat disoriented and confused. It is as if there is no night. The medication given to reduce pain also may also add to your sense of confusion.

The temporary confusion that you may feel is just that-"temporary". It is not serious, and it will resolve within a day or two after you are transferred to quieter quarters. Once you are able to catch up on your rest, you will be able to think clearly again and return to your normal sleep pattern. Visiting in ICU is also limited to one person at a time.
Intensive Coronary Care Unit (ICCU) Coronary Care Unit (CCU) Intermediate Care Ward (ICW)

These are the other step-down units where you stay for about 24/48 hrs. The monitoring and nursing care is just the same in these units. As the visiting time increases and you become gradually more ambulatory, you start feeling much better and are then shifted to the postoperative ward.
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