The median number of awakenings in the 8-h study period was 35 (22–45), and the frequency of arousals per hour of sleep was 15 (10–20). Unexpected movements can be painful and disruptive to your sleep. A cancer diagnosis alone can create sleep-robbing stress. Getting out of bed after surgery is not always easy, but spending time out of bed will help you heal faster. Cognitive-behavioral therapy can help reduce stress and anxiety associated with your diagnosis and ultimately clear up issues like anxiety and RLS to help you sleep better. Or, try wearing a type of compression stocking called thromboembolic deterrent (TED) hose. During sleep, upper airway muscle activity is an important factor in the maintenance of airway patency. The authors noted sleep events (arousals from sleep and transition from sleep to wake) that occurred within 12 s of relief of obstruction. This is often due to the effects of anesthesia, pain and discomfort from surgery, and psychological factors such as anxiety and depression. Most likely you’ll work with a dietician from the hospital on keeping your diet in check and making sure you take in lots of protein. Sleep helps heal wounds and restores sore, damaged muscles. Br J Anaesth 1996; 76: 552–9, Kavey NB, Altshuler KZ: Sleep in herniorrhaphy patients. EEG = electroencep-halographic. We considered that changes in respiration were linked with sleep events if they decreased within 12 s of a change in electroencephalographic state. You can consult with your surgeon to determine the best time to start sleeping on your side or in other positions. is most comfortable for you. Hypoxemic episodes occur during sleep after abdominal surgery, possibly caused by airway obstruction. Rolling onto your sides could put pressure on your implants or your incisions, which can be painful. Everyone has experienced the effects of a poor night’s sleep at one point in their life. Because others have found that respiration and sleep state change either simultaneously 31or within 4–8 s, 13,14,32we took 12 s as a generous time to link changes in respiration and sleep state. most patients were sleep-deprived in the days after surgery, with total sleep time reduced by up to 80% on at least one of the first nights after surgery. : If you’re recovering in the hospital, staff will likely be taking your vitals or administer medication every few hours throughout the night or during the day while you’re trying to nap. Difficulty in sleeping is a common complaint after open heart surgery. here are numerous studies addressing sleep issues among women who have undergone a mastectomy due to cancer and, depending on the. You’ll probably have some discomfort around the incision site for a week or two. The authors thank Peter Wraith, Ph.D., and Neil J. Douglas, F.R.C.P.E. J Appl Physiol 1995; 78: 1469–76, Rees K, Spence DPS, Earis JE, Calverley PMA: Arousal responses from apnoeic events during NREM sleep. When your surgery belt is on, you can find it’s easier for you to move around and even you can do some physical exercises … A nesthesiology 1990; 73: 52–61, Catley DM, Thornton C, Jordan C, Lehane JR, Royston D, Jones JG: Pronounced episodic oxygen desaturation in the postoperative period: Its association with ventilatory pattern and analgesic regimen. Br J Anaesth 2001; 86: 254–66, Aurell J, Elmquist D: Sleep in the surgical intensive care unit: Continuous polygraphic recording of sleep in nine patients receiving postoperative care. Sleeping after a tummy tuck procedure will feel different at first, but, like anything, it will start feeling normal pretty fast with a little practice. Hundreds of thousands of people undergo gallbladder surgery each year. Arch Intern Med 1992; 152: 538–41, Norman RG, Ahmed MM, Walsleben JA, Rapoport DM: Detection of respiratory events during NPSG: Nasal cannula/pressure sensor versus thermistor. If you can't climb up and down them after your surgery, you might have to make some changes. After surgery, you will wear a surgical bra that provides support and holds your drains in place. After the first in intensive care I coded and had to go through a complete second surgery and had a second bovine put in still having a problem with sleeping but have managed to end semi on my side now with the help with a pillow but at first I’m still stiff when getting up and sit on the side of the bed for a few min. We noted the episodes of relief of partial obstruction, arousals from sleep, and changes of sleep state. Patients who had received premedication spent less time asleep and had more respiratory-related arousals. Data analysis was predominantly descriptive, using median and upper and lower quartile values (Minitab release 12, 1998; Westwood Business Park Coventry, United Kingdom). for you to start to enjoy the benefits of your artificial hip or knee. This information sheet has been given to you to help answer some of the questions … Distribution of the total events recorded in the patients over the observation period. The activity of medullary raphe neurons is modulated by a cholinergic mechanism and can be reduced by intrapontine carbachol, 34causing an REM-like state. Therefore, I had to come up with equipment and settings to help me sleep at night and survive in a … It is possible that the features of recovery from respiratory obstruction may be characteristic for particular individuals. There are four main reasons why you need to take caution when sleeping after your breast surgery. improved sleep following cataract surgery. Other. “Confinement after surgery allows the tissue that was cut to heal back together,” says Dr. Chelsea Sykes, DVM, a veterinary surgeon at the new SPCA Tampa Bay Veterinary Center. Required fields are marked *, © 2020 The Mattress Nerd. 4. Trauma of surgery: Your body responds metabolically and physiologically to surgery, which can affect your sleep. 8–10It is tempting to suppose that similar associations are present after surgery because patients sleep poorly after surgery, have airway obstruction, and have repeated arousals from sleep and episodes of hypoxemia. 24Electroencephalographic frequencies change during the progress of obstructive apneas, irrespective of whether the obstruction ends in an arousal. Talk with your doctor about treatments for sleep disorders, and how best to treat them. Eliminating excess skin and fat and reinforcing the abdominal wall will pay huge dividends not only in addressing cosmetic concerns but also increases confidence and self-esteem. The record showed a period of a lower saturation, later returning to a satisfactory value. For example – and this is merely one example – you might have had a surgery in the abdominal region. Received from the Department of Anaesthesia, Critical Care, and Pain Medicine, Edinburgh University, Royal Infirmary, Edinburgh, United Kingdom. You can also do this with an adjustable bed. This gives ample time for the breast bone to heal after surgery. Here are some general tips on how to sleep better after surgery: If you are losing sleep due to a painful condition, you could be making your condition worse with each night that passes. Relation between arousals from sleep (top ) and transition from sleep to wake (bottom ) with episodes of recovery from obstruction. Reasons for fatigue after surgery are numerous. I had a hard time keeping the sheet and blanket on the surgical knee. We all know that sleep is critical to the healing process, but finding a comfortable sleeping position was difficult after my surgery. 42However, our patients had undergone surgery and were given opiates, which interact with benzodiazepines, so different results are perhaps likely. Eur Respir J 1999; 14: 1271–7, Rosenberg J, Rasmussen V, Vonjessen F, Ullstad T, Kehlet H: Late postoperative episodic and constant hypoxemia and associated ECG abnormalities. 25This suggests that arousal is gradual and not a categorical event. Bracing your incision, which means applying pressure to the incision, is essential … Only 30% of arousals and awakenings were associated with relief of obstruction. 33However, our patients did not have this condition. However, the usual ward routine is to dim the lights between 22:00 and 06:00 h, and ward activity between these times is limited. Am J Surg 1979; 138: 682–7, Rosenberg-Adamsen S, Skarbye M, Wildschiodtz G, Kehlet H, Rosenberg J: Sleep after laparoscopic cholecystectomy. You see… being straight upright tends to pull on the incision lines in that area of the body. Use pillows to keep the broken bone elevated above the heart to prevent blood pooling and reduce swelling. Heart surgery is major surgery and patients are at increased risk of depression following the procedure. Sleeping on your left side, in particular, can help with blood flow and reduces acid reflux. Take a warm shower or listen to soothing music or meditative audio before bedtime. Comparatively, 55% of women who have never had cancer have difficulty sleeping. Your email address will not be published. The authors found arousals from sleep more often than respiratory disturbances, so they related changes in sleep state (short arousals from sleep and longer periods of wakening) to the sudden increase in respiratory flow that indicates relief from complete or partial respiratory obstruction. Sleep was generally poor, usually stage 2, with frequent awakenings and even more frequent arousals. They were then nursed in a large gynecologic ward containing 20 beds. Stomach-sleepers, we’re sorry, but your ideal sleeping position is not recommended after surgery. Cataract removal allows the light to come into the eyes again, which may bring your circadian rhythm — and your sleep — back to normal. However, recovery from obstruction is characteristically prominent, abrupt, and easy to define. Sleeping after hernia surgery Download Here Free HealthCareMagic App to Ask a Doctor All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. Traces were analyzed separately for sleep events and for sudden increases in respiratory flow. Often sleep problems persist through menopause with issues like night sweats you up. Some studies suggest that patients who undergo cholecystectomy have fewer sleep disturbances than patients who undergo more invasive abdominal surgeries. The traces are two electroencephalogram channels, a submental electromyogram (EMG), and nasal flow. Research suggests that women who undergo abdominal hysterectomy have greater trouble sleeping during the first week of recovery than women who underwent a vaginal hysterectomy due to wound pain, gas pain, coughing, discomfort, and nausea. As with any surgery, sleep will likely be compromised due to anesthesia, painkillers, and pain. They were classified as relief of obstruction in relation to either electroencephalographic arousal (the short-term appearance of the wake state) or transition to wakefulness (when an epoch of sleep is followed by at least 1 min of waking). Recovering from those can be more complicated than you think. If you’re a die-hard stomach-sleeper, we’re sorry, but you’re just going to have to stick to side sleeping or sleeping on your back until you’ve healed fully! It is easy for anyone who has never undergone plastic surgery to be scared of their nighttime rest prospects. Yet sleep is vital for recovery as well as physical, mental, and emotional health. Respir Physiol 1998; 112: 291–303, White DP: Pathophysiology of sleep apnoea. How to get better sleep after a C-section: While some broken bones can heal on their own with the aid of a cast or brace, more serious breaks or fractures may require surgery. Take your medications as directed and, if possible, about 30 minutes before bedtime so they have time to take affect before you sleep. How to get better sleep after back surgery: Cataracts are a clouding of the normally clear lens of the eye. Fig. Terms and Privacy, Sleep helps the body heal. Sleeping Upright In Bed. In only two subjects were frequency changes seen in isolation. 5). To make this position more comfortable, use pillows at your sides. Oxygenation was satisfactory in all except one patient, who had a mean saturation of only 90%. This article is featured in “This Month in Anesthesiology.” Please see this issue of Anesthesiology, page 5A. Opioids inhibit REM sleep by a μ-opioid receptor mechanism. Don’t forget to baby yourself as you recover. Our findings do not support the possibility that relief of airway obstruction precedes arousal from sleep or that relief of obstruction can be classified as occurring in a period of wakefulness when in fact it may have started during sleep. Because this was an observational study, anesthetic management was not standardized and was given according to clinical routine. There was no significant difference in characteristics between those who did and did not receive premedication. After the patient had returned to the ward after the operation, we taped a pulse oximeter probe to a finger (Embla; Flaga hf, Reykjavik, Iceland) and placed a nasal pressure cannula (Pro-Tech airflow sensor; Woodinville, WA), similar to a very narrow nasal oxygen cannula, in the nostrils. But sleep problems after surgery — both short- and long-term — are common. Sleep Disorders; View All ; Resources. A nesthesiology 2002; 96: 817–26, Trinder J, Whitworth F, Kay A, Wilkin P: Respiratory instability during sleep onset. How to get better sleep after hysterectomy: Americans have an estimated 10 million wisdom teeth extracted each year, often when they are in their teen or young adult years. Preparing yourself and your recovery environment for the days and weeks following surgery can help improve your chances of getting quality sleep and enable your body to recover faster. Instead, experts offer the following suggestions: Back-sleeping. Sleep apnea/poor airway control: Sleep apnea is a sleep disorder during which your breathing pauses several times while you’re sleeping. A nesthesiology 1985; 63: 20–8, Rosenberg J, Wildschiodtz G, Pedersen MH, von Jessen F, Kehlet H: Late postoperative nocturnal episodic hypoxaemia and associated sleep pattern. 5,6. Preparing yourself and your recovery environment for the days and weeks following surgery can help improve your chances of getting quality sleep and enable your body to recover faster. After undergoing abdominal surgery, patients have to stay in hospital for several days because the procedure causes post-operative ileus or bowel paralysis. Be gentle with what you put in your belly for a few days to reduce discomfort at bedtime. Even worse, anesthesia can stay in your system for up to seven days, interfering with your sleep up to a week after surgery. The most important function of your gallbladder is storing bile which helps digest fats. Change positions if you become uncomfortable. They develop slowly over the course of years. You may also experience insomnia. What Are Some Signs of Infection? Make sure you sleep on your back, in a modified position, for at least 7-10 days. Restorative REM sleep was also absent on the first night following surgery, and sometimes up to three nights after surgery. Sleep on your side with a pillow to support your belly. : Anesthesia puts you to sleep during surgery, but it does not replace natural sleep. For example, playing a sound to a sleeping patient with obstructive sleep apnea can shorten a period of obstruction, even though no electroencephalographic arousal is evident. After an abdominal surgery, most patients will be fitted with drains that will be removed after 1 to 2 weeks after the operation, depending on the type of surgery and patient. Additionally, put one or two pillows on any chair you are sitting in for extra comfort. A typical example of an arousal from sleep, with no change in respiratory pattern, is shown in figure 3, and an episode of relief from respiratory obstruction, in a conscious subject, is shown in figure 4. The patient had 61 min of REM sleep the night before surgery and 26 min of REM sleep the first night after surgery … Pituitary gland hormones and sympathetic nervous system “fight or flight” hormones are also released, which run counter to your need to sleep. Am J Resp Crit Care Med 1995; 152: 1016–21, McNicholas WT: Arousal in the sleep apnoea syndrome: A mixed blessing? It can be uncomfortable and can prolong your hospital stay. It is extremely important that you wear the eye shield for a few days following surgery, even when … After your surgery, you will be given an abdominal binder to wear for the first couple of weeks. As a result, many people report improved sleep following cataract surgery. is one of the top questions I’m asked. Cataract removal allows the light to come into the eyes again, which may bring your circadian rhythm — and your sleep — back to normal. If you need to make adjustments to the binder, do so when laying down as it will be easier to slide it down if it inches up. It is important to follow your doctor’s recommendations since. 1). Even after your pain is managed, you may still experience insomnia. Getting out of bed Try to get out of bed at least 2 to 3 times a day to sit in a chair or take a short walk when your nurse says it is OK. While getting a … Pontine injections of carbachol reduce serotonin release at the hypoglossal neurons 36and reduce genioglossal activity. puts you at increased risk for infection. Sleeping after any kind of surgery is a challenge; this is especially true of spine surgery. Anesthesia: Anesthesia puts you to sleep during surgery, but it does not replace natural sleep. Opioid supplements during surgery were given either as morphine or, in one case, diamorphine. The authors found arousals from sleep more often than respiratory disturbances, so they related changes in sleep state (short arousals from sleep and longer periods of wakening) to the sudden increase in respiratory flow that indicates relief from complete or partial respiratory obstruction. than patients who undergo more invasive abdominal surgeries. 43Poor sleep has been reported after surgery 4and in high dependency 44and intensive care units. 6. It can also jolt you awake and prevent or interrupt restorative REM sleep. Knee or hip replacement surgery is generally performed to help reduce pain and improve mobility in joints that have become damaged and inflamed. The most commonly prescribed medications after surgery are antibiotics to prevent infection and pain medication to relieve post-op discomfort, says Osborne. July 6, 2018 by Digital Production. More than 60% of women experience sleep problems like insomnia when going through perimenopause (the time before menopause when hormone levels and menstrual periods become irregular). Br J Anaesth 1990; 65: 684–91, Drummond GB, Stedul K, Kingshott R, Rees K, Nimmo AF, Wraith P, Douglas NJ: Automatic CPAP compared with conventional treatment for episodic hypoxemia and sleep disturbance after major abdominal surgery. Stomach sleeping is not recommended because it strains the lower back. Oxygen therapy using a simple variable function mask with a flow of 4 l/min is standard for our patients receiving patient-controlled analgesia, and this was given over the study period. The standard procedure is a less invasive laparoscopic cholecystectomy. Healing can take several weeks to several months, and in some cases, several years. Metabolically, blood sugar levels may raise in response to the trauma, while time without food before and during surgery may cause a drop in blood sugar, which can lead to sleep interruptions or insomnia. The neurons that control this muscle tone are controlled by the pontine reticular formation, whose activity is reduced during sleep. Our method of identifying arousal from sleep may not identify lesser degrees of arousal. Oxygenation during the study period was summarized as the mean and SD of oxygen saturation values at 1-s intervals. The standard procedure is a less invasive laparoscopic cholecystectomy. Additionally, put one or two pillows on any chair you are sitting in for extra comfort. Anesthesia creates an artificial effect in producing sleep that disrupts the normal sleep cycles. Cataract removal has become extremely routine and can take as little as 10 minutes. Or, try elevating your head with pillows or an adjustable bed. This is completely normal. We did not change clinical management other than to apply monitoring equipment. How to get better sleep after joint replacement surgery: Back pain can interfere with sleep, and back surgery can help alleviate backaches so you can get a better night’s rest. The irony is that the timing and duration of sleep is crucial to bone restoration and repair. In sleep apnea syndrome, episodes of airway obstruction and hypoxemia impair daytime function 7and may have harmful cardiovascular effects. Sleep 2003; 15: 174–84. This can be due to pain, medications, fatigue, general discomfort, or even postpartum depression. So, you must sleep in a way that they are not pushed to another spot. Most patients reported poor sleep and no dreams, and no patient wished to have measurements for a further night. Details of the patients analyzed are given in table 1, separated according to premedication. However, getting good sleep after wisdom teeth extraction may seem daunting. After episodes of relief of obstruction had been identified, we retrospectively noted the features that had been used for identification. Be sure your bed linens are comfortable and laundered and have an extra clean set on hand. Sleeping on your back help keeps you head, neck and spine aligned and avoids putting any pressure on your... Side-lying. This is caused by the soft tissues in the mouth falling to the back of your throat and obstructing your airway. So, under those circumstances, you normally want a little bend at the waist. The rate of wakening was 4.8 (3.1–7.3) episodes per hour of sleep. When you are anxious, falling asleep and staying asleep can be a challenge. Am Rev Resp Dis 1982; 126: 434–8, Hosselet J-J, Norman RG, Ayappa I, Rapoport DM: Detection of flow limitation with a nasal cannula/pressure transducer system. And adequate sleep can have a detrimental effect on your bones. In a previous study of patients receiving morphine analgesia after abdominal surgery, we found that hypoxemic events and airway obstruction 23were more frequent when the patients were awake. Avoid caffeine and alcohol immediately before bedtime. Morphine may dissociate motor control of the upper airway from the sleep state so that airway control may be impaired even in subjects who are awake, leading to loss and return of airway patency such as the episode illustrated in figure 4. We asked women who were about to have abdominal surgery for nonmalignant gynecologic conditions to participate, and we obtained written informed consent. When recovery from obstruction and arousal were close together, the likelihood of arousal before or after the respiratory event was similar. If you are a side sleeper, sleep on your non-operative side with two pillows running lengthwise between your legs. Sleep on your back. If not, pick up an eye mask. Sleeping on your stomach (where your nose is most compromised) six weeks after surgery may cause your nose to swell slightly, but shouldn’t affect the overall positive outcome of your rhinoplasty. After C-Section Delivery new Mom has to care for her health, Sleep is one Of the important concerns for a new mom because of abdominal volume. The signals were transferred to a laboratory display unit (Somnologics; Flaga hf) and coded so that the traces could be studied without knowing their source. Be sure to wear loose-fitting clothes to bed. For electroencephalogram recording, we inserted subcutaneous scalp electrodes in the C3–C4, Cz–Pz positions and fastened them in place with collodion. But recovery can take up to four weeks for some people. This gives ample time for the breast bone to heal after surgery. Relief of obstruction also occurred without arousal from sleep, with a median frequency of 38 (30-62) in each night. Your email address will not be published. After my vitrectomy surgery I had to remain face down 24 hours a day. But following surgery — when our bodies need the healing powers of sleep the most — getting a good night’s rest can seem impossible. However, most people who undergo back surgery will feel fatigued and experience some pain and mobility issues for the first few days after surgery. Comparatively, 55% of women who have never had cancer have difficulty sleeping. If you’re a side sleeper, use pillows to prop against your belly to keep your wound site supported. Major surgery: Major surgeries like joint replacements or open-heart surgery require longer hospital stays, longer recovery, hookups to medical equipment, and often, more medication, all of which can affect your quality of sleep. 28We used a well-accepted and relatively stringent definition, which includes an increase in chin electromyogram, however brief, and a return to theta or alpha rhythm for more than 1.5 s. 21A very similar definition (Université Catholique de Louvain, Brussels, Belgium) has comparable agreement and repeatability to the American Sleep Disorders Association definition but is easier to use because of the associated electromyographic changes required. To find how sleep and respiratory changes are linked, we studied patients receiving morphine via  patient-controlled administration. Or, elevate the upper back either with pillows or an adjustable bed. 26The most frequent, defined by the American Sleep Disorders Association, 27is only moderately repeatable, particularly when judging arousal from light sleep. Associated = occasions when relief from respiratory obstruction and sleep state change occurred within 12 s; EEG = electroencephalogram; EEG only = either arousal or transition to wake, without association with a recovery from obstruction; resp only = relief of respiratory obstruction, not associated with change in sleep state. But you may feel sensations like pulling and pressure. Generally, the patients did not report good sleep. A new incision isn’t very strong and a violent sneeze can actually cause a surgical incision to open. : Sleep apnea is a sleep disorder during which your breathing pauses several times while you’re sleeping. : Pain after surgery is common, and can make falling asleep difficult. A study published in the journal. Sleep state is shown by awake as 5, asleep as 0, a recovery from obstruction as 3, and an arousal as 1. Avoid sleeping on the side that you had surgery on, if possible since the pillow can irritate the affected eye. After abdominal surgery, the digestive system becomes sluggish and can stop working for a few days. Premedication with benzodiazepines seems to increase the association between respiratory obstruction and sleep arousal. We asked 23 patients to participate. Environmental stress: If you have to spend a few days in the hospital for recovery from your surgery, you may experience environmental stressors that impede sleep, such as discomfort from tubes in your nose or mouth or IV needles in your arms, inability to move, thirst, uncomfortable room temperature, unfamiliar noises or smells, constant movement of staff, and limited interaction with family. At this stage, you are advised to use an abdominal binder to reduce some of the swelling, as well as … Conversely, steroids can make you feel energized, which can keep you from falling asleep. Arousals occur without respiratory changes, and obstruction and recovery from airway obstruction occurs in patients who do not fulfill the standard criteria for sleep. Sleep helps heal wounds and restores sore, damaged muscles. Be sure you have a mattress that provides comfort and support. All rights reserved. Following surgery, you may be a bit wobblily from medication and prone to falls or bumping into things. You’re also most likely to be ‘blocked up’ and getting some stool softeners is advised. Caring for Your Dog’s Wound Keep your dog from licking its incision. Try sleeping on your back with a pillow between your legs at least until your wound heals. It is important to follow your doctor’s recommendations since cataract surgery puts you at increased risk for infection. Emotional stress: Medical procedures can be stressful, both physically and emotionally. Fig. Some disorders, like sleep apnea, can be dangerous. Even more frustrating, sleep problems can affect your body’s perception of pain, further impeding a good night’s sleep. Surgeon Dr. Jeffery Campsen explains the steps to take for moving your digestive tract out … Premedication had no apparent effect on the incidence of respiratory disturbances not associated with arousal. After premedication, the proportion of respiratory-related arousals was 32% (31–36%), compared with 28% (22–29%) (P < 0.05;fig. Use your pain pills…as directed. But not all surgeries require post-op antibiotics, says Sykes. The number of episodes of relief of respiratory obstruction in the study period not linked with sleep events (either arousals or awakenings) was 38 (30–62). Metabolically, blood sugar levels may raise in response to the trauma, while time without food before and during surgery may cause a drop in blood sugar, which can lead to sleep interruptions or insomnia. Beds with high marks on motion transfer better ensure you will remain undisturbed if your bed partner or pet tosses and turns or get up for a bathroom break during the night. After open heart surgery, it is important to sleep in a way that enables the patient to breathe properly and also avoids any kind of pressure over the chest wall. Do not cross your legs or ankles. Median sleep duration was 70% of the study period, with 15 arousals and 6 awakenings per hour of sleep. Another factor, such as morphine administration, seems to affect the control of the airway. It is crucial to avoid placing any pressure on the fat cells for six to eight weeks after surgery, which means you have to adjust the way you sleep. Recent technological advances, which include vaginal and robotic-assisted laparoscopic hysterectomies, are much less invasive procedures with less discomfort, reduced risk of infection, and shorter length of recovery. Only approximately half of these sleep events were in relation to respiratory disturbances. If the elevation is for whatever … SLEEP is often disturbed in patients recovering from major 1and minor surgery, 2but disturbance is less when opioid analgesia is not used. It turns out that if you have an abdominal incision, you can do some serious harm to your incision if you cough or sneeze the wrong way. 3. How to get better sleep after broken bone repair surgery: Hundreds of thousands of people undergo gallbladder surgery each year. N Engl J Med 1973; 288: 1215–9, Hoijer U, Hedner J, Ejnell H, Grunstein R, Odelberg E, Elam M: Nitrazepam in patients with sleep apnoea: A double-blind placebo-controlled study. A study published in the journal Sleep found that among women with advanced breast cancer, those who reported being efficient sleepers had a mean survival 68.9 months compared to 33.2 months for women who said they slept poorly. Cataracts can interfere with daily activities and even your sleep by reducing the amount of light that reaches the retina in the back of the eye. We excluded patients who were already taking opioid analgesic agents or other centrally acting medication, such as antidepressants, anxiolytics, and night sedatives. Other workers have related arousal to changes in respiration, such as obstructive nonapneic events, similar to the majority of the events we studied. Adjustable mattresses with adjustable bed frames allow you to raise your head or legs — or both — for added comfort. Cataracts are a clouding of the normally clear lens of the eye. Next, to sleep, this is priority #2. Raise the knees so that they are slightly bent by sliding pillows under your knees. We looked for a link between these respiratory events and transient arousal or longer-term awakening. In essence, your own internal clock has been disrupted by the effects of the anesthetic. Your surgeon will advise you to walk …