The post-operative period
After the transplant
surgery, your child will go directly to the Pediatric Intensive Care Unit
(PICU). Approximately one hour after arrival in the PICU, you will be able to
come into the room to see your child. Pain medication and sedation will be used
to keep your child comfortable. Also, he or she will have several IV's and a
Foley catheter in his or her bladder.
The nurse in the PICU will
explain the purpose of the monitors and tubes that your child has attached at
this time. Before you enter your child's room, you will be asked to wash your
hands, because hand washing is the most important way to protect your child from
infection after surgery.
While in the PICU,
typically a one-day stay, your child will have a nurse that is constantly
monitoring his or her progress. The PICU nurses will encourage you to
participate in your child's care as much as you like. Visiting hours in the PICU
are from 10 a.m. - 8:30 p.m. for friends and relatives.
Parents and legal guardians
may visit 24 hours a day. Due to the large amount of equipment and limited
space, we ask that only two people be at the bedside at any one time. Anyone who
has been exposed to communicable diseases or who is ill (colds, flu, etc.) is
restricted from visiting in the PICU. We do not recommend that any child under
the age of seven visit the PICU.
Due to the limited space and
activity of the unit, we do not allow parents to sleep at the bedside. We can,
however, provide one cot per family to sleep in the parent waiting area.
When the transplant team
feels that your child is ready, he or she will be transferred to the inpatient
floor. Your child will need to begin walking about his room and participating in
activities to increase his strength. The nurses on the floor and the transplant
team will then teach your family how to take care of your child at
home.
If all goes well, your
child should be able to return home after approximately one week.