PREOPERATIVE

MANAGEMENT
By

Dr Armah

Goal is to maximize respiratory function

to improve the outcome
postoperatively and reduce risk of
complications.

Encourage the patient to stop smoking to

restore bronchial ciliary action and to reduce
the amount of sputum, and likelihood of
postoperative atelectasis, by decreasing
secretions and increasing oxygen saturation.

Teach an effective coughing technique.

1. Sit upright with knees flexed and body bending slightly
forward (or lie on side with hips and knees flexed if
unable to sit up).
2. Splint the incision with hands or folded towel.
3.Take three short breaths, followed by a deep inspiration,
inhaling slowly and evenly through the nose.

Provide teaching and

counseling

Orient the patient to events that will occur in

the postoperative period coughing and deep
breathing, suctioning, chest tube and drainage
system, oxygen therapy, ventilator therapy,
pain control, leg exercises and range-of motion
(ROM) exercises for affected shoulder.