title: Perioperative challenges in management of a deaf and dumb patient posted for high-risk cardiac surgery.
abstract: Perioperative management of deaf and dumb patients can be a challenging task. For smooth postoperative recovery, proper care should begin in the preoperative period. Understanding the patients' needs and training him to follow the instructions requires to involve a communication specialist. Judicious use of sedatives and analgesics is essential to keep the patient pain-free and comfortable. Postoperatively, the patient should be kept awake, enough to understand the internal need of the body and to make a meaningful response to external stimuli. Adequate preoperative planning and coordinated team efforts with involvement of specialists can help in delivering better postoperative care.
authors.affiliation: Department of Cardiac Anesthesiology, CARE Hospital, Bhubaneswar, Odisha, India.
authors.forename: Vivek
authors.initials: V
authors.lastname: Chowdhry
authors.affiliation: Department of Cardiac Anesthesiology, CARE Hospital, Bhubaneswar, Odisha, India.
authors.forename: Manoranjan
authors.initials: M
authors.lastname: Padhi
authors.affiliation: Department of Cardiovascular and Thoracic Surgery, CARE Hospital, Bhubaneswar, Odisha, India.
authors.forename: B B
authors.initials: BB
authors.lastname: Mohanty
authors.affiliation: Department of Cardiovascular and Thoracic Surgery, CARE Hospital, Bhubaneswar, Odisha, India.
authors.forename: Suvakanta
authors.initials: S
authors.lastname: Biswal
mesh_terms: D006348:Cardiac Surgical Procedures; D003638:Deafness / Q000150:complications*; D006331:Heart Diseases / Q000150:complications* / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009155:Mutism / Q000150:complications*; D010149:Postoperative Pain / Q000517:prevention & control*; D019990:Perioperative Care / Q000379:methods*