Prepare for Your Surgery & Procedure
Be Ready with Information from Our Memphis Neurosurgeon
Before Your Surgery
Before you come to our clinic for your surgery or procedure, it's important that you make certain arrangements for your stay with us. If your surgery requires you to stay overnight, be sure to pack a small bag or suitcase. When your surgery is over, your accompanying friend or loved one can then bring this luggage into your recovery room.
If you are not staying overnight, you still will need assistance to go home the day of your surgery. The general anesthesia or sedation you receive will not allow you to drive or travel alone, so please plan to have a friend or loved one pick you up. We also recommend that for the first 24 hours after your surgery, someone stays with you in case you experience any lightheartedness or dizziness.
While you're in surgery, our facility has a waiting room for your family to stay. If they cannot stay, they can be contacted via phone once your procedure is complete. Your time in our recovery room can vary, but most patients stay between one and two hours. Our nursing staff can keep any waiting family updated on your progress.
It is also critical that you see your Primary Care Physician two to three weeks prior to your procedure. A general exam, review of any medications, labs, and EKG are all necessary to clear you for surgery. Your physician will provide you with documentation that clears you for your procedure with us.
- Other Pre-Op Directions:
- Limit the money and credit cards you bring with you. Money for any copay and prescriptions may be necessary, but can be held by your accompanying loved one.
- Dress casual and for comfort.
- Bring any dentures, contact lenses, glasses, or hearing aids you wear with you.
- Remove all jewelry.
- Shower, shampoo your hair and brush your teeth before arriving. Be sure not to swallow any water while brushing your teeth.
- Do not wear any makeup, perfume, or lotions. Nail polish/artificial nails are acceptable.
- If you smoke, it is critical that you stop for at least two weeks prior to surgery and at least three months after (if not longer). Nicotine can interfere with the recovery process (bone fusion).
- The day before your surgery, eat a light dinner. Do not drink any alcohol for 24 hours prior to your surgery.
- It is critical that you eat nothing for at least eight hours prior to your surgery. This includes protein shakes, gum, and candy. Clear liquids, such as water, clear juices, and black coffee, are allowed up until four hours before your surgery. Failure to follow these directions can result in the cancellation of your procedure. You may receive additional diet instructions from your anesthesiologist that also must be followed.
Taking Medications Before Surgery
It is very important that you abstain from taking certain medications before your surgery. Certain types can increase bleeding or interfere with anesthesia. Medications that can prevent your blood from properly clotting include Aspirin. Aspirin and products that contain aspirin, like Percodan™, should be completely avoided seven to 10 days prior to your procedure.
Non-steroidal Anti-inflammatory Drugs (or NSAIDs) should also be avoided five to seven days before your procedure. This includes Non-selective COX inhibitors like Advil, Motrin, ibuprofen, and many other products. Selective COX inhibitors (COX-2 inhibitors) such as Celebrex and Vioxx can be continued. If you regularly take painkillers, speak with our Memphis Neurosurgeon before preparing for your surgery.
Vitamins, Herbals, and Supplements also need to be discontinued for seven days prior to your surgery. Because the exact composition of these products is rarely known, recommendations cannot be given, and they should be completely avoided the week before your procedure.
Additional medications YOU CAN take before surgery include:
- Anti-hypertensives (blood pressure medications)
- Anti-reflux medications (Protonix, Prilosec, Nexium)
- Anti-Parkinson medications
- Birth control pills
- Bronchodilators (inhalers and medications for the lungs)
- Cardiac medications (for the heart)
- Opiates (without aspirin; Tylenol #3, Vicodin, fentanyl, etc.)
- Seizure medications (anti-convulsants)
- Steroids (prednisone)
- Thyroid replacement (Synthroid)
Medications YOU CANNOT take before surgery include:
- Aspirin (and aspirin-containing products)
- Blood Thinners (Plavix, Warfarin, Coumadin, Lovenox, Heparin - discontinue only under the direction of your physician)
- Chewable antacids (TUMS, Rolaids, etc.)
- Diuretics (furosemide, water pills, hydrochlorothiazide)
- Herbs and supplements
- Non-steroidal Anti-inflammatory Drugs (ibuprofen, Motrin, Advil, Mobic, Orudis, etc.)
- Oral hypoglycemics (Actos, DiaBeta, Glucophage, Avandia, Micronase, Glucotrol, Amaryl)
- Weight reduction agents
Whatever your medication routine is, please discuss it thoroughly with both your physician and our surgeon to avoid any complications on the day of your procedure. If you have questions or are ready to request an appointment, call us at (901) 683-4594 today.