Once your surgery has been scheduled, you will be notified of the date and time. A nurse and an anesthesiologist from the Center will then contact you with a pre-operative questionnaire that will help us provide the most thorough and appropriate care.Please read this information carefully and follow the instructions.
- Do not eat or drink anything after midnight unless your physician/anesthesiologist states otherwise.
- You may bathe/shower and brush your teeth without swallowing water the morning of the surgery.
- Remove all nail polish and make-up.
- Leave all jewelry and valuables at home except for necessary co-payment obligations (i.e. credit card, check, etc).
- Bring current photo identification (drivers license, ID card, passport, etc) and insurance card.
- If you wear glasses or contact lenses, bring a case to protect them.
- If there is a possibility that you may be pregnant, please notify your surgeon.
- A responsible adult must accompany you to the Center and be present when you are ready to leave. At least one adult per patient is recommended or both parents with their child.
If you experience any changes in your health between the times of your last office visit and your scheduled surgery, please notify your physician. Examples of changes in health include a cold, cough or fever.
Anesthesia for Same-Day Surgery
The latest safe, short-acting anesthetic medications and sophisticated monitoring devices enable anesthesiologists to provide their patients with the most up-to-date and best medical care possible every day. As a result, an increasing number of surgical procedures are performed safely on an outpatient basis. Patients come to the hospital, have surgery and go home, all on the same day. They can continue recuperating in the comfort of home and avoid costs that insurance might not cover. Same-day surgery usually is elective and can range in duration from a few minutes to a few hours. It is frequently performed in the ambulatory surgical center and may use any of the forms of anesthesia: local anesthesia with intravenous sedation, regional nerve blocks, and general anesthesia. These pages include helpful information to prepare you or a loved one for a same-day surgical procedure. If you have any additional questions, be sure to discuss them with your physician or anesthesiologist.
Anesthesia Before Surgery
In order to achieve a clear understanding of your needs, the anesthesiologist must obtain information regarding your medical condition prior to surgery. This consultation may be on the day of surgery or a few days before surgery during a preoperative visit. This visit frequently includes blood and laboratory tests or other preliminary examinations, such as EKG or X-rays. This prior evaluation gives you the opportunity to discuss your medical history, various anesthetic options, and their risks, and pertinent questions of concern with the anesthesiologist. It also gives you the chance to learn about the many safety precautions your anesthesiologist will provide during your surgery. You should bring a list of all medications that you take on a regular basis or have taken recently to the preoperative visit. It is best to include the dose information from the medication label on your list. The dose is commonly shown in milligrams (mg). For example, “100 mg” stands for 100 milligrams. It is important that your anesthesiologist have a detailed medical history and drug list because it will be used, along with the laboratory data, to make many important anesthetic decisions. For most procedures, you will be told to fast the night before your operation. It is very important that you do not eat or drink anything during that time unless otherwise instructed by your anesthesiologist.
Anesthesia the day of Surgery
If you are having same-day surgery, the goals of your anesthesiologist are to:
- Provide you with the best medical care possible
- Deliver safe and satisfactory pain relief during your surgery
- Return you to an alert, awake and comfortable state of health so that you may be discharged within a few hours
To achieve these goals, your anesthesiologist takes into consideration your current and past medical condition, as well as the type, location and estimated length of the surgical procedure. After surgery, you will be taken to the Post Anesthesia Care Unit (PACU), commonly called the recovery room, and closely watched for any immediate postoperative problems. When you meet the discharge criteria determined specifically for you –based on your personal medical condition, the type of surgery and the criteria of the ambulatory surgical center – you will be released to go home with a reliable friend or family member. It is extremely important that you arrange for a responsible adult to take you home from the ambulatory surgical center because your coordination and various reflexes may be impaired for at least 24 hours making normal activities, such as driving, difficult. If you do not feel well or experience pain after surgery, tell the nurses or anesthesiologist in the PACU so they can determine how best to help you. You shouldn’t be reluctant to tell them how you feel or ask any questions you may have. You will not be released to go home until you have recovered sufficiently from the anesthesia. Occasionally, some patients need additional care or experience difficulties following surgery and may need to be observed or treated in the hospital overnight until they are well enough to go home.
Day of Surgery
On the day of your surgery, you will arrive at the surgical center at your appointed time and check in with an administrative assistant. As an outpatient, you will leave the facility after your procedure, so be sure that somebody will drive you home at that time. Any additional information, such as advanced directives that legally assign rights to other parties in some events, may be reviewed and signed. An attending nurse will lead you to the pre-operative room, where you will be prepared for your surgery. He or she will likely take vital statistics, such as temperature, blood pressure, patient weight, as well as perform an ECG and check patient ears, nose and throat passages. He or she will review key questions and information along with your doctor or surgeon. You will then be changed into a patient gown, slippers and head cover. Depending upon your needs, you may either take oral or intravenous sedation and other necessary medications. A nurse will assess you one last time before you are brought into the operating arena. Once under anesthesia, you will be prepared for your specific procedure. Then, your lead surgeon, attending nurses and other medical technicians will work together to ensure your successful surgical operation.
After your surgery is completed, you will be in the postoperative care unit, where the average time spent is one to two hours, depending on your surgery and the type of anesthesia given. When recovery is sufficient, the anesthesiologist will release you.
- Your surgeon will provide you with specific postoperative care instructions after your surgery. In addition, please follow the general instructions below.
- Follow your physician’s instructions regarding activities, diet, rest and medications.
- For your protection, avoid making important decisions or signing important documents for at least 24 hours following your procedure.
- Plan to have a responsible adult drive you home and stay with you for 24 hours after your surgery.
- Do not drink alcoholic beverages for 24 hours following your surgery.
A Center staff member will call the following day to check on your progress and answer any questions.
Children and Special Needs
Care For Children
We give children the extra care they need in an unfamiliar setting. Please refer to the Before My Surgery and Day of Surgery above for further tips, as well as the guidelines on this page for children. Following these instructions may prevent delays or cancellation of the surgery. DRINK Children may have clear liquids up to two (2) hours prior to arrival. This includes water, apple juice, soft drinks, and Kool-Aid. NO milk or orange juice should be given. FOOD Children must not eat anything for six (6) hours before their arrival. Please do not allow them to chew gum, suck on candy or swallow toothpaste prior to surgery. PARENTAL CARE We require at least one parent to remain at the Center during the child’s surgery and recovery period. Please do not bring other young children along. If your child’s surgery is scheduled near noon, you may want to bring a lunch for yourself while you are waiting. PERSONAL COMFORTS Please bring your child’s favorite blanket, bottle, or sippy cup, stuffed animal or toy for added security. AFTER SURGERY You will be able to be with your child as soon as he/she is awake and medically safe for transfer after recovery.
Care For Special Needs and Adults
We understand that loved ones who depend upon the assistance of others to carry out the activities of daily living require special attention. Besides the guidelines in the above Before My Surgery and Day of Surgery sections, the following tips will help make care for these adults easier: CONSENT The legal guardian needs to sign the consent for surgery and anesthesia on or before the day of surgery. ADMISSION Please bring the patient’s recent health history and medication information. Be certain to follow the food and drink rules in the Before My Surgery section above. PERSONAL ATTENDANT As with other patients, special needs patients require a parent, legal guardian or another responsible adult to remain at the center from admission through recovery. A personal attendant will be required to stay with the patient for 24 hours after discharge.