Post-Operative (Post-Op) Instructions for Brain Surgery

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🧠 Immediate Post-Operative Care

  • Monitoring: You will be closely monitored in ICU for the first 1 to 2 days, depending on the type of surgery.
  • Pain management: Expect some discomfort, but medications will be provided to manage pain.
  • Wound care: The surgical site may be covered with a dressing or bandage for 2 days. Keep the site clean and dry unless instructed otherwise.

πŸ’Š Medications & Pain Management

  • Pain relief: You will be prescribed pain medications (e.g., acetaminophen, opioids, or other pain relievers). Take pain medication as directed.
  • Antibiotics: If prescribed, take the full course of antibiotics to prevent infection.
  • Steroids: These may be prescribed to reduce swelling and inflammation.
  • Seizure prevention: Anticonvulsant medications may be recommended to prevent seizures after surgery.
  • Blood thinners: If prescribed, follow the dosing instructions carefully. Blood thinners may be held after surgery due to risk of bleeding, follow these instructions carefully

πŸƒ Activity Restrictions & Mobility

  • Rest: Take it easy in the first few days to allow your body to recover.
  • Limited movement: Avoid sudden movements or bending over. Try not to strain or lift heavy objects.
  • Help with daily activities: You may need assistance with tasks such as dressing, bathing, and eating for a short period after surgery.
  • Gradual increase in activity: You can gradually resume light activities, but avoid strenuous exercise until your doctor approves. We recommend short walks multiple times per day and increase activity as tolerated.

πŸ§‘β€βš•οΈβ€ Follow-Up Appointments

  • Schedule your follow-up visit as directed, usually within 1–2 weeks after surgery.
  • Imaging or scans: Your doctor may order follow-up imaging (e.g., MRI, CT scan) to ensure proper healing.
  • Monitor for complications: Make sure to follow any instructions about testing, monitoring, or additional procedures if necessary.

⚠️ Signs to Watch For (Contact Your Surgeon Immediately)

If you experience any of the following symptoms, call your doctor or seek emergency medical care right away:

  • Increased pain or throbbing at the surgery site not relieved by Tylenol.
  • Fever over 101Β°F (38.3Β°C).
  • Severe headache or changes in your mental status (e.g., confusion, trouble speaking, vision problems).
  • Sudden weakness or numbness in the face, arms, or legs.
  • Seizures or unusual movements.
  • Redness, swelling, or drainage from the surgical site.
  • Loss of consciousness or fainting

🩹 Wound Care

  • Keep the surgical site clean and dry: Do not shower until you are cleared to do so by your doctor (usually 72 hours after surgery or 24 hours after drain is removed). Do not apply any lotions, ointments, or oils to your incision.
  • Dressings: Follow specific instructions regarding dressings. If your wound is covered, do not remove the bandage unless directed to do so.
  • Sutures or staples: These will be removed in about 2 weeks. If your doctor used dissolvable stitches, there is no need for removal.

🧠 Cognitive & Emotional Recovery

  • Cognitive changes: You may experience temporary issues with memory, concentration, or speech. These often improve over time but should be monitored.
  • Emotional changes: It's normal to feel emotionally fragile post-surgery. Anxiety, depression, or mood swings can occur. Seek support from family, friends, or a counselor if needed.
  • Therapy or rehab: Some patients may benefit from physical therapy, occupational therapy, or speech therapy to aid recovery.

πŸ₯— Nutrition & Hydration

  • Hydrate: Drink plenty of fluids, but avoid caffeinated drinks until cleared by your doctor.
  • Healthy diet: Follow a nutritious, balanced diet to support your recovery. Avoid high-fat or high-sugar foods that may slow healing.
  • Swallowing difficulties: If you have trouble swallowing, consult your doctor, as it maybe necessary to modify your diet until recovery progresses.

πŸ›οΈ Sleep & Rest

  • Rest is essential: Aim for 7-9 hours of sleep each night to support your recovery. Try to maintain a quiet and relaxing environment.
  • Sleep position: You may be advised to sleep with your head elevated to reduce swelling or avoid pressure on the surgical site.

🏒 Returning to Work or School

  • Return to work: Discuss with your surgeon when it’s appropriate to return to work. It can vary based on the complexity of your surgery and how quickly you recover.
  • Driving: Do not drive until your doctor gives approval, especially if you're taking pain medications or have been advised to avoid physical exertion.

🚨 Emergency Contact

If you experience any severe or worrisome symptoms, do not hesitate to contact your healthcare team. Keep their contact numbers readily available at all times.