Postoperative management milestones after pulmonary thromboendarterectomy

Time	Management
<12 hours	Sedation wean and neurologic exam Ventilator wean and extubation Vasopressor wean
12 to 24 hours	Initiation of VTE prophylaxis Initiation of diuresis
POD 1	Initiation of long-term anticoagulation Patient mobilization Swallow evaluation and initiation of PO intake +/– discontinuation of A-line, PAC, foley catheter, chest tubes
POD 2	Discontinuation of A-line, PAC, foley catheter, chest tubes
POD 3	Discharge from the ICU

An uncomplicated postoperative ICU course after PTE surgery involves early extubation, weaning of vasopressor agents, anticoagulation management, and mobilization. Patients can be discharged from the ICU within 3 to 5 days.

PTE: pulmonary thromboendarterectomy; VTE: venous thromboembolism; POD: postoperative day; PO: per os (by mouth); A-line: arterial line; PAC: pulmonary artery catheter; ICU: intensive care unit.

Graphic 134092 Version 1.0

خرید پکیج

Postoperative management milestones after pulmonary thromboendarterectomy