Heart and Vascular Health What to Expect After Your Heart Surgery By Heart and Vascular Institute, April 17, 2015 The moment has finally arrived: Your heart surgery is over. When you wake up from anesthesia, you may wonder why you are connected to so many machines. More importantly, you may wonder what are the next steps and changes you’ll make as a result of your heart surgery. Here are some things you should know to help ease your mind about your care after surgery. Your Care in the Intensive Care Unit (ICU) As soon as your surgery is over, your surgeon will talk to your family. You will be taken to the ICU to recover overnight. While you are in the ICU recovering, you will be watched very closely. Breathing Tube and Oxygen When you wake up, you may have a breathing tube in your mouth and throat. This breathing tube is in your mouth for your comfort and safety. The tube is attached to a ventilator to help your breathing until you fully wake up from the anesthesia. When you are breathing well enough, the tube will be quickly removed. Then you will be given oxygen through your nose or a mask over your mouth. Keep taking slow, deep breaths and follow the instructions of the nurse speaking to you. Drainage Tubes You will have some tubes and wires attached to you in the ICU. The most common drainage tubes include: Chest Tubes: Drainage tubes are placed into your chest near your heart and lungs. The tubes will be removed after a day or two. Foley Catheter: For your comfort, another drainage tube will be placed into your bladder so you will not have to worry about urinating. Intravenous (IV) Lines: You also will have some IV lines in your arms and in your neck. These IV lines help staff track your vital signs, give you medicine, draw blood for tests, and replace fluids to help speed your recovery. Heart Monitor: You will be connected to a monitor to show heart activity and other pressures in your heart. Pacemaker Wires: Temporary pacemaker wires may be placed into your chest during surgery and may be used to control your heart rate if necessary. They will be removed before you go home. Moving from the ICU to a Regular Care Unit When you are ready, you may be moved to a regular floor to continue your recovery for a few more days. To learn more about heart surgery at UPMC, check out our What to Expect: Heart Surgery booklet.