ORAL and MAXILLOFACIAL SURGERY PRE-OPERATIVE INSTRUCTIONS

DAY BEFORE SURGERY: ORAL PRE-MEDICATION
A. Medrol (Methylprednisolone) is an anti-inflammatory (for swelling) prescribed to START in the morning of the DAY BEFORE SURGERY as indicated. or

B. Dexamethasone (an anti-inflammatory) is prescribed to START as indicated. NIGHT BEFORE SURGERY:

You may have a normal dinner.

MORNING OF SURGERY:

Take the Methylprednisolone or Dexamethasone with a small sip of water, if you are having LV. Sedation or General Anesthesia NOTHING TO EAT.

AFTERNOON SURGERY: (if your surgery is in the afternoon)
You may have a light breakfast before 8am and nothing to eat or drink af
ter except a few sips of water if thirsty. Take prescribed premedications as indicated only with small sips of water. No lunch.

IMPORTANT INSTRUCTIONS REGARDING ANESTHESIA
You will always be given local anesthesia for your surgery; however, you may choose any of the following as a supplement. Each choice requires different preparation, and for your safety it is important that you read and follow the instructions carefully. Should you choose Intravenous Sedation; please wear comfortable, loose-fitting clothing, with sleeves that are easily drawn over the elbow. If you are unclear, please ask your doctor.

1. LOCAL ANESTHESIA
Local anesthesia will produce a numb feeling in the area being operated on, and you may experience a sensation of pressure during surgery. You will be awake and recall the surgery, however, there should be no significant discomfort.

  1. You may have a light meal a few hours prior to surgery.

  2. You may drive after the procedure.

  3. Plan to rest for a few hours after surgery, depending on the extent of the surgical procedure.

2. NITROUS OXIDE
Nitrous Oxide, also known as "laughing gas", will produce a relaxed feeling and while less aware of your surroundings, you will recall most of the procedure.

  1. Adults may have a light meal four (4) hours prior to surgery. Children under 14 years of age must be on an empty stomach for 6 hours.

  2. It is best to have someone drive you home, if possible.

  3. Plan to rest a few hours after surgery, depending on the extent of the surgical procedure.

3. INRAVENOUS SEDATION
M
edications given through a vein, which cause total relaxation. Although you may not actually be completely unconscious throughout the entire procedure, there will be very little recall (if any) of the surgery. Most patients are totally asleep during most or all of the procedure.

  1. Do not eat or drink ANYTHING (including water) for SIX (6) hours prior to surgery. However, it is important that you take any regular medications (high blood pressure, antibiotics etc.) or any pre-medication prescription that we have prescribed, using only a small sip of water. Avoid anticoagulants (Aspirin, Plavix, Coumadin, etc.) as indicated (usually 5-7 days prior to surgery).

  2. For morning appointments, skip breakfast.

  3. For afternoon appointments, eat a light breakfast at least SIX (6) hrs. before your appointment and skip lunch.

  4. You MUST have someone drive you home.

  5. Plan to rest for the remainder of the day and avoid driving or operating hazardous equipment for the day.

Our goal is to provide you with a safe, pleasant and effective anesthetic. In order to do this, it is imperative that we have your full cooperation. Please feel free to ask or call about any questions concerning your surgery or anesthetic.

Please feel free to bring an iPod or listening devise, to make your experience as pleasant as possible.

IF YOU HAVE A PROBLEM OR AN EMERGENCY, CALL OUR OFFICE - NIGHTS, SUNDAYS, HOLIDAYS. Phone: (305) 648-3717 Fax: (305) 648-3720