General Pre-op Instructions

Preoperative procedures and lab work are designed to improve the outcome of the surgery, decrease the risk for complications, and make the surgery as safe and effective as possible.

If you are to receive general anesthesia for their surgery, which renders you unconscious, you must refrain from eating or drinking for at least 8 hours before surgery. Most instructions indicate that nothing is to be taken by mouth after midnight, on the night prior to the procedure. It may seem harsh, but this precaution minimizes the risk for complications such as vomiting during surgery. The hospital will give you additional instructions on what you can have on the morning of surgery before the operation.

Discontinuing prescription and over-the-counter medications that “thin” the blood, such as Coumadin or Plavix, is necessary prior to surgery. The amount of time the blood-thinning drug should be held is based on your medical condition, the type of drug, and the scheduled surgical procedure. If you are taking any other prescription medications, the schedule for which you are to take them leading up to surgery and on the day of surgery will be reviewed with you.

Arrival at the Hospital or Surgery Center

If surgery is being done as an outpatient procedure, you must arrange for a ride home upon discharge. Even if the anesthesia has worn off, grogginess can last several hours, and it is unsafe to drive. Also, you may need assistance when you get home. Outpatients usually go to an area designated for same-day surgery.
If surgery is being done as an inpatient procedure, you will check into the hospital and eventually be assigned a room. Most often you will be sent to a regular floor room after surgery, but if you undergo a complex surgical procedure or have complications you may go to the intensive care unit (ICU).

After your arrival, time is needed to prepare you for the procedure, which can possibly take several hours depending on the procedure. Sometimes, the time of surgery may need to be changed due to cancellations or emergencies with the hospital or surgeon. Also, sometimes the scheduled surgeries ahead of yours can take shorter or longer than planned.

All patients must sign an informed consent form. This form is an acknowledgment that you are aware of risks and complications of the surgery, that you know you will be receiving anesthesia, and that the surgeon has explained the operation to you. The surgery cannot proceed unless the consent form is signed.

You will be asked to remove personal items (e.g., jewelry, eyeglasses, hairpieces, contact lenses, dentures) before surgery. This policy protects you and prevents the items from being lost or damaged. Depending on the procedure, eyeglasses, hearing aids, or dentures may be worn until in the operating room.

Different staff members may ask the same questions. The clerk who checks you in asks several questions, as does the pre-op nurse, operating room nurse, and the anesthesiologist. While these questions may seem very redundant and tedious, the information is always checked and double-checked to prevent serious errors and omissions.

Before Surgery

Patients are usually taken to a preoperative or holding area before surgery. The anesthesiology team will meet with you here, perform a brief physical examination, and take your history. They obtain information regarding medication used, drug allergies, and prior adverse reactions to anesthesia. This information helps the anesthesiologist select the most suitable anesthetic agents and dosages to avoid complications. An intravenous line (IV) will be started here if you do not already have one. A sedative may be given to help you relax before the surgery.