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CARDIOTHORACIC SURGERY The role of Physiotherapists – a study guide £8.49   Add to cart
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CARDIOTHORACIC SURGERY The role of Physiotherapists – a study guide
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This revision note discusses the role of physiotherapists in cardiothoracic surgery. Looking at various stages of recovery; pre-operative and post-operative.

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  • October 18, 2022
  • 6
  • 2019/2020
  • Other
  • Unknown

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CARDIOTHORACIC
SURGERY
The role of Physiotherapists – a study guide

, Perioperative Physiotherapy:

Possible post operative complications:
 Atelectasis
o Up to 5% for lower abdominal surgery
o 19-59% for thoracic surgery
o Up to 88% for upper abdominal surgery
 Hypoxaemia
o Can cause slow wound healing
o Supplemental oxygen required 72hrs post-surgery
o Nighttime is particularly risky (some high-risk patients may present with hypoxaemia
2-4 days after operation)
 Haemodynamic instability
o AF is common in elderly people after cardiovascular surgery
o Hypovolemia - Pre/post Op Fluid restriction can cause this. (Low volume of blood)
o Arrhythmia


 Chest infection
 Others
o Anxiety and stress
 Physical and psychological stress inhibits healing.
 This can be reduced by education preoperatively and granting post
operative autonomy.
 Anxiety can increase the perception of pain, compromise immunity and
promote infection.
o Fatigue
 Frequent short walks may benefit these patients rather than long walks to
maintain early ambulation despite the fatigue.
o Nausea
 Inhibits deep breathing
 Dehydration
 Electrolyte imbalance
 Wound opening / bleeding
o Depression
 Body image
o Urine and bowel issues
o Wound infection / sepsis
o Cognitive dysfunction
 Delirium
 Occurs 10-50% of patients (NICE 2010)
 Can be prevented by early mob, nutrition, familiar objects
surrounding and good sleep.
o Peripheral nerve injury
o DVT (red flag)


Rationale: To minimise adverse physiological changes (post operative complications) and to facilitate
return to optimal function.

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