TY - CHAP M1 - Book, Section TI - Postoperative Care A1 - Rosen, Jennifer E. A2 - Doherty, Gerard M. Y1 - 2020 N1 - T2 - Current Diagnosis & Treatment: Surgery, 15e AB - The modern surgeon is involved with the management of a patient from preoperative evaluation, through the conduct of the operation into the postoperative care period, and often into generating a long-term plan. As the operating surgeon, he or she is best situated to apply evidence-based scientific knowledge and a deep understanding of potential complications to that patient’s care. The recovery from major surgery can be divided into three phases: (1) an immediate, or post anesthetic, phase; (2) an intermediate phase, encompassing the hospitalization period; and (3) a convalescent phase. During the first two phases, care is principally directed at maintenance of homeostasis, treatment of pain, and prevention and early detection of complications. The convalescent phase is a transition period from the time of hospital discharge to full recovery. The trend toward earlier postoperative discharge after major surgery has shifted the venue of this period. We often say “postop starts preop,” which essentially means that the postoperative plan should be considered and discussed before surgery to set expectations for the patient and their family. SN - PB - McGraw Hill LLC CY - New York, NY Y2 - 2024/04/18 UR - accessmedicine.mhmedical.com/content.aspx?aid=1171273694 ER -