Preparing for Surgery

Here is a list of instructions describing how to prepare for an ENT surgical procedure. Listen carefully to the doctor and follow the instructions below to ensure a safe procedure and a speedy recovery.

Adult Preoperative Instructions

Two Weeks BEFORE and Two Weeks AFTER Surgery

Discontinue all vitamins, herbal medications or supplements.
Examples include but are not limited to:

  • Multivitamins
  • Vitamin E
  • Fish oil
  • Melatonin
  • Glucosamine Essential oils
  • Phentermine
  • oQ10
  • Energy/Weight loss

Please ask if you are unsure if it’s safe to take something not listed. These types of medications may interfere with anesthesia/recovery.

One Week BEFORE and Two Weeks AFTER Surgery

Discontinue all Aspirin, Aspirin-containing and non-steroidal anti-inflammatory medications (NSAIDS). If you are prescribed Aspirin by your doctor or cardiologist, you must get instruction regarding when to discontinue.
Examples include but are not limited to:

  • Aspirin/Baby Aspirin
  • Excedrin, some Midol products
  • Ibuprofen (Advil, Motrin, and combination with sleep or cold medication)
  • Aleve (Naproxen, Naprosyn, Anaprox, Indomethacin, Nabumatone)
  • Some arthritis medications

Acetaminophen (Tylenol) can be taken if needed. Be mindful not to take with any post-op medications given for pain as they may contain an acetaminophen component.

5-7 Days BEFORE Surgery (This must be determined by prescribing doctor)
Discontinue all blood thinners including but not limited to: Coumadin, Warfarin, Plavix, Xarelto, Eliquis, Lovenox, etc. Please contact prescribing doctor for approval.

The Night BEFORE Surgery

DO NOT EAT, DRINK OR SMOKE ANYTHING AFTER MIDNIGHT
This includes but is not limited to:

  • Water
  • Coffee
  • Mints
  • Chewing tobacco
  • Lozenges
  • Gum
  • Hard candy
  • Cigars, cigarettes, E-cigs

The Day of Surgery

You must have a responsible adult drive you from the procedure. If having general anesthesia, someone must stay with you for the first 24 hours. You will not be released to a cab or car service vehicle.

  • If you usually take maintenance medications in the mornings such as those prescribed for heart, blood pressure, acid reflux, hernia or asthma, the pre-operative nurses will advise you if and when to take. Usually these medications are taken with a small sip of water. Bring any inhalers to the facility with you.
  • Insulin and oral hypoglycemic medications are usually discontinued the morning of your procedure but you must discuss with prescribing doctor. Insulin pumps must be adjusted or advised by your doctor.
  • You may shower using any antibacterial soap. You may brush your teeth but do not swallow water or toothpaste.
  • Do not wear makeup, perfume/cologne, deodorant or nail polish.
  • Do not wear jewelry including earrings, body jewelry, watches, rings, etc.
  • If you wear glasses, bring them along with their case. Do not wear contacts.

Pediatric Preoperative Instructions

The facility will call with instructions regarding surgery arrival time as well as when to discontinue food and drink. Management of any daily morning medications will also be addressed.

Discontinue 10 days PRIOR to surgery

All vitamins, herbal medications or supplements for diet/weight loss/energy.
Examples include but are not limited to:

  • Multivitamins
  • Melatonin
  • Essential Oils
  • Health Drinks
  • Vitamin E
  • Fish oil/Omega 3
  • Workout/Performance

Discontinue 7 days PRIOR to surgery and 7 days AFTER surgery

All Aspirin and Aspirin-containing drugs and Non-steroidal anti-inflammatory (NSAIDs) medications. These medications interfere with blood clotting.
Examples include but are not limited to:
Aspirin, Ibuprofen (Advil, Motrin), Naproxen (Aleve)
*Medications used for arthritis in children: please call hospital/surgery center for instructions.

Acetaminophen (Tylenol) products are SAFE to use if a mild pain reliever is needed.

Call (913) 663-5100 for more information or to schedule an appointment.