“Perioperative” is a term used to describe the time around surgery. It generally refers to the period between going to the hospital or clinic and returning home afterward, but it can also include months of preparation and recovery.
The perioperative period has three distinct phases:
Every surgery is broken down into these phases to differentiate tasks and establish who is responsible for overseeing and delivering each stage of care. By maintaining strict adherence to procedures and a clear chain of command, hospital teams are able to deliver consistent, optimal care from the moment surgery is ordered to the time when a person is fully recovered.
This article describes what happens in each of these three perioperative phases.
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Preoperative Phase
The initial phase, called the preoperative phase, begins with the decision to have surgery and ends when the patient is wheeled into surgery. This phase can be extremely brief, such as in the cases of acute trauma, or require a long period of preparation during which time a person may be required to fast, lose weight, undergo preoperative tests, or await the receipt of an organ for transplant.
Intraoperative Phase
The second phase, known as the intraoperative phase, involves the surgery itself. It starts when the patient is wheeled into the surgical suite and ends when the patient is wheeled to the postanesthesia care unit (PACU).
During this phase, the patient will be prepped and typically given some form of anesthesia, either general anesthesia (for complete unconsciousness),local anesthesia(to prevent pain while awake), orregional anesthesia(such as with a spinal or epidural block).
As the surgery begins, the patient’s vital signs (including heart rate, respiration, and blood oxygen) will be closely monitored. In addition to the surgeon and anesthesiologist, other team members will be responsible for assisting the surgeon, ensuring safety, and preventing infection during the course of the surgery.
Postoperative Phase
The final phase, known as the postoperative phase, is the period immediately following surgery. As with the preoperative phase, the period can be brief, lasting a few hours, or require months of rehabilitation and recuperation.
Once the patient is awake and ready to leave PACU, the postanesthesia nurse will typically transfer the responsibility of care back to the perioperative nurse. (In smaller hospitals, the same person may be tasked with both responsibilities.)
Postoperative care is mainly focused on monitoring and managing the patient’s physiological health and aiding in postsurgical recovery. This may include ensuring hydration, monitoring urination or bowel movements, assisting with mobility, providing appropriate nutrition, managing pain, and preventing infection.
2 SourcesVerywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.Association of periOperative Registered Nurses.Colleges of nursing - faculty tool kit.Celik F, Edipoglu IS.Evaluation of preoperative anxiety and fear of anesthesia using APAIS score.Eur J Med Res. 2018;23(1):41. doi:10.1186/s40001-018-0339-4
2 Sources
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.Association of periOperative Registered Nurses.Colleges of nursing - faculty tool kit.Celik F, Edipoglu IS.Evaluation of preoperative anxiety and fear of anesthesia using APAIS score.Eur J Med Res. 2018;23(1):41. doi:10.1186/s40001-018-0339-4
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
Association of periOperative Registered Nurses.Colleges of nursing - faculty tool kit.Celik F, Edipoglu IS.Evaluation of preoperative anxiety and fear of anesthesia using APAIS score.Eur J Med Res. 2018;23(1):41. doi:10.1186/s40001-018-0339-4
Association of periOperative Registered Nurses.Colleges of nursing - faculty tool kit.
Celik F, Edipoglu IS.Evaluation of preoperative anxiety and fear of anesthesia using APAIS score.Eur J Med Res. 2018;23(1):41. doi:10.1186/s40001-018-0339-4
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