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Sternal Precautions

Medically reviewed by Drugs.com. Last updated on Aug 4, 2025.

What are sternal precautions?

Sternal precautions are safety guidelines to help protect your sternum (breastbone) after open chest surgery. Wires are placed during surgery to hold the sternum together as it heals. Sternal precautions help prevent injury, pain, infection, and bleeding. The goal is to prevent putting stress on the healing sternum. You may need the precautions for up to 12 weeks after surgery.

How are sternal precautions done?

Your healthcare provider will give you specific instructions. It is important to follow the instructions carefully. An injury to the healing sternum can be life-threatening. Your provider may teach you to imagine a tube is around your chest and upper arms. Any movement you make with your upper body or arms will need to stay inside the tube. The following are general sternal precaution guidelines:

How do I care for the surgery area?

Always wash your hands before you care for the area. Do not rub the area as you wash or dry it. Pat the area dry with a clean towel. Change the bandages as directed and when they get wet or dirty. Ask when you may take a bath or shower.

Handwashing

Do not smoke:

Nicotine can damage blood vessels and make it more difficult to heal. Do not use e-cigarettes or smokeless tobacco in place of cigarettes or to help you quit. They still contain nicotine. Ask your healthcare provider for information if you currently smoke and need help quitting.

Call your local emergency number (911 in the US) if:

When should I seek immediate care?

When should I call my doctor?

Care Agreement

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your healthcare providers to decide what care you want to receive. You always have the right to refuse treatment. The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.