OHSU

Post-Transplant

Surgical Intensive Care Unit (SICU) 

You will wake up from the transplant operation in the Surgical Intensive Care Unit. The sights and sounds may seem strange to you. You will be attached to many tubes, IV lines, and monitors. The average length of stay in the SICU is two days. This will vary depending on how you respond to the surgery, how quickly you recover from the anesthetic and how sick you were prior to the transplant. When you wake up, you may experience some confusion due to the anesthetic. When you are stable, the doctors will remove some of the monitors, intravenous (IV) lines and tubes, and you will be transferred to the Transplant Unit.  

The Transplant Unit

The average length of stay on the Transplant Unit is 5-8 days. This makes your total hospitalization stay approximately 10 days. This varies depending on your overall post-transplant recovery. After your surgery you may feel many different emotions. Many people feel relief that it is over. It is not uncommon to feel depressed or anxious after the surgery. All these emotions are common and most people feel a little of each. While you are on the Transplant Unit you have some important responsibilities before you can be discharged, including eating, walking, coughing and deep breathing.

Education

You will learn all about your new liver, how to take care of it, how to prevent infection, your medications and your clinic and lab schedule. The coordinators, nutritionists, pharmacists and nurses will teach you how to take care of yourself now that you have your new heart. You will have received a manual. This is your lifelong guide that you will need to continue to refer to. The transplant team expects you and your social support participate in your education during your hospital stay. The transplant coordinator and the pharmacist will come to your room to answer questions and review your medications. Prior to your discharge, you and your support will need to complete a worksheet on the information you learned.

Discharge

The Transplant Team will discharge you when: 

  • You are physically stable
  • You know your medications and can set up each dose.
  • You know your clinic and lab schedule
  • You meet the conditions identified on the discharge review worksheet (reviewed by the coordinators)
  • You have arrangements for a place to stay when leaving the hospital.