What happens after the AAA repair?
In the hospital after AAA open repair
After the procedure, you may be taken to the recovery room or the intensive care unit (ICU) to be closely watched. You will be connected to monitors that will display your heart activity, blood pressure, breathing rate, and your oxygen level.
You may have a tube in your throat to help you breathe until you can breathe on your own. As you continue to wake up from the anesthesia and start to breathe on your own, the breathing machine will be adjusted to allow you to take over more of the breathing. When you are awake enough to breathe completely on your own and you are able to cough, the breathing tube will be removed.
After the breathing tube is out, your nurse will help you cough and take deep breaths every two hours. This may be uncomfortable due to soreness, but it is very important that you do this to keep mucus from collecting in your lungs. This can lead to pneumonia. Your nurse will show you how to hug a pillow tightly against your chest while coughing to help ease the discomfort.
You may receive pain medication as needed, either by a nurse, through an epidural catheter, or by giving it yourself through a device connected to your intravenous line.
You may be on IV medications to help your blood pressure and your heart, and to control any problems with bleeding. As your condition stabilizes, these medications will be gradually decreased and discontinued as your condition allows.
Once the breathing tube has been removed and your condition has stabilized, you may start liquids to drink. Your diet will move gradually to more solid foods as you are able to handle them.
If you have a drainage tube in your stomach, you will not be able to drink or eat until the tube is removed. The drainage tube will be removed when your intestines work again. This is usually a few days after the procedure.
When your doctor decides that you are ready, you will be moved from the ICU to a postsurgical nursing unit. Your recovery will continue here. Your activity will be gradually increased as you get out of bed and walk around for longer periods.
Arrangements will be made for discharge from the hospital. This will include prescriptions for new medicines and directions for a follow-up visit with your doctor.
In the hospital after EVAR
You may be taken to the intensive care unit (ICU) or a postanesthesia care unit (PACU). You will be connected to monitors that will display your heart activity, blood pressure, breathing rate, and your oxygen level.
You will remain in either the ICU or PACU for a time and then moved to a regular nursing care unit.
You will be given pain medication for incisional pain or you may have had an epidural. This is anesthesia that is infused through a thin catheter into the space that surrounds the spinal cord in the lower back. It causes numbness in the lower body, abdomen, and/or chest.
Your activity will be gradually increased as you get out of bed and walk around for longer periods. You will begin solid foods as you can handle them.
Arrangements will be made discharge from the hospital. This may include prescriptions for new medicines and directions for a follow-up visit with your doctor.
Once you are home, it will be important to keep the surgical area clean and dry. Your doctor will give you specific bathing instructions. The sutures or surgical staples will be removed during a follow-up office visit, if they were not removed before leaving the hospital.
The surgical incision may be tender or sore for several days after an aneurysm repair procedure. Take a pain reliever for soreness as advised by your doctor.
You should not drive until your doctor tells you to. Other activity restrictions may apply.
Tell your doctor to report any of the following:
- Fever and/or chills
- Redness, swelling, or bleeding or other drainage from the incision site
- Increase in pain around the incision site
Your doctor may give you other instructions after the procedure, depending on your particular situation.