Before Surgery Instructions

Which type of Anesthesia do I choose?

1. Through an Intravenous (IV)

Before Surgery Instructions - IV Anesthesia
Before Instructions for IV Anesthesia.pd
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  • Best described as a "dream-like experience" with little to no memory of the procedure commonly known as "twilight anesthesia"
  • Do NOT eat or drink 6 hours prior to your scheduled surgery time; otherwise, your surgery will be considered “cancelled” and may lead to severe complications including death due to aspiration.
  • We encourage you to drink PLENTY of fluids the day prior to your surgery. Staying hydrated allows improved visualization of your veins; thus, improving probability of inserting IV catheter.
  • If you are prescribed morning medication(s), please take the medication(s) with small sips of water. This will not go against #1. It is imperative you maintain your normal medication regiment unless directed otherwise.
  • If you are required to pre-medicate with antibiotics (e.g. heart valve replacement, artificial joint), you are required to take your antibiotics one hour prior to your scheduled surgery time with small sips of water; otherwise, your surgery will be considered “cancelled”.
  • You must be accompanied by an adult (18 years of age or older) to drive you to and from your surgery appointment. Your driver (or another adult) MUST stay with you for the remainder of the day as you recover due to effects of anesthesia. You must be accompanied by a parent/guardian if you are under the age of 18. This person must be prepared to stay at the office during your entire surgery appointment.
  • Bring your glucometer to your scheduled surgery if you are a Diabetic. If you are insulin dependent, please inform your Primary Care Physician of your scheduled surgery under intravenous (IV) sedation so your Primary Care Physician can inform you of the appropriate insulin dosing guidelines. 7. Bring your inhaler to the surgery appointment, we will ask you to take 2 puffs prior to surgery.
  • Wear loose, comfortable clothing on the day of surgery (e.g., wear a shirt with sleeves, sweat pants) for more direct access to your veins. Do not wear sandals or flats since those provide poor ankle support.
  • Remove contacts prior to surgery and please wear glasses instead.
  • We monitor oxygen levels via a nail bed; thus, please remove fingernail polish from at least one fingernail.
  • If you are pregnant or think you may be, notify our office immediately. Your surgery may be rescheduled. 
  • Do not smoke 1 week prior to surgery, this will allow improvement in lung function prior to sedation surgery.
  • If you have development an illness (e.g., stomach upset, bowel upset, cold, or sore throat) prior to surgery, please notify the office, (304) 322 - 4532.  Rescheduling may be required for your safety.

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2. Nitrous Oxide (aka Laughing Gas):

  • It is intended to create calmness and comfortability while focusing on breathing in the safe gas through your nose.  It is not intended to put you to sleep, only anesthesia through an IV can achieve that effect.
  • Continue your normal, daily routine
  • Enjoy a big breakfast or lunch prior to surgery!
  • Take morning medication(s) as directed
  • You may drive yourself to the appointment (we always encourage a driver for your safety)
  • We encourage you to bring headphones to use during the surgery

This is a safe and effective sedative agent that is mixed with oxygen and inhaled through a small mask that fits over your nose to help you relax.  It is not intended to put you to sleep, you will be able to hear and respond to any requests the clinical team is asking.  You will be asked to breathe normally through your nose, and within a few minutes you should start to feel the effects.  You may feel light-headed or a tingling in your arms and legs.  Ultimately, you should feel calm and comfortable.  The effects of nitrous oxide wear off soon after the mask is removed.

3. Local Anesthesia:

  • You will be fully awake during the procedure ( similar to visiting your Dentist)
  • Continue your normal, daily routine
  • Enjoy a big breakfast or lunch prior to surgery
  • Take morning medication(s) as directed
  • You may drive yourself to the appointment (we always encourage a driver for your safety
  • We encourage you to bring headphones to use during the surgery

 Office hours:

Monday through Friday

(730am - 530pm)









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