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Dr. Daisy Chemaly & Associates

Oral and Maxillofacial surgery and pathology

305 South Kingsway Toronto, Ontario M6S 3V5 Phone: 416-766-7616 Fax: 416-766-7617

Instructions Before Anaesthesia

Please follow these instructions to prepare for IV Sedation.

Pre-Anaesthetic Instructions

  • Do not take any food or drink for eight hours prior to surgery. NO WATER. Blood pressure medications can be taken with a sip of water.
  • If you take an antiplatelet drug (Plavix) or an anticoagulant (Pradaxa, Coumadin, Xarelto, Eliquis), you must obtain your regular physician’s consent before you stop taking any prescription drug. It is not required to stop taking aspirin, blood pressure medications, or anti-inflammatory drugs ( non-steroidal), i.e. Advil, Naproxen, Celebrex.
  • Please wear loose fitting clothing and short sleeves (e.g. T-shirt).
  • Do not wear contact lenses, perfume, and nail polish.
  • Arrange for a responsible adult to take you home and meet you inside the clinic. This does not include: taxi driver, Uber, Lyft, Wheel trans driver, etc. Plan to be at the clinic for about 2 hours from start to finish.
  • Do not operate a motor vehicle, machinery, perform any business transactions, or drink any alcohol for 24 hours following the surgery.
  • Kids will be discharged with two responsible adults, so that one can be with the patient during transport.
  • Please notify our office 48 hours in advance of any coughs or colds that may develop.

Eating and Fluid Intake

  • Perform your usual oral hygiene routine prior to your appointment.
  • DO NOT chew gum, eat, or drink anything 8 hours prior to the appointment. This includes water. This will ensure that you come to the appointment with an empty stomach and prevent you from vomiting should nausea occur. Vomiting while being sedated is dangerous and can be prevented by following the above protocol.
  • Blood pressure medications can be taken with a sip of water.
  • If you take an antiplatelet drug (Plavix) or an anticoagulant (Pradaxa, Coumadin, Xarelto, Eliquis), you must obtain your regular physician’s consent before you stop taking any prescription drug. It is not required to stop taking aspirin, blood pressure medications, or anti-inflammatory drugs (non-steroidal), i.e. Advil, Naproxen, Celebrex.

Clothing and Eye wear

  • Wear loose fitting clothing that does not restrict your breathing and allows a blood pressure cuff to be placed on the skin of your upper arm. Please avoid turtlenecks or dresses.
  • Wear flat shoes.
  • DO NOT wear contact lenses
  • DO NOT wear perfume
  • DO NOT wear fitted jewelry

Nail polish & Lipstick

  • DO NOT wear nail polish, shellac, or acrylic nails. A probe will be placed on your finger to monitor your pulse and oxygen while you are sedated and does not work well on nail varnish or fake nails.
  • Minimal makeup is best for the day of your procedure. Do not wear lipstick or heavy eye makeup.

Adult Escort & Transportation

  • A responsible adult escort MUST accompany you to the office, remain in the office during your procedure, be available to help you fill your prescription, and drive you home safely.
  • NO PUBLIC TRANSIT following sedation.
  • Your escort should remain with you for 12 hours following your procedure.
  • Arrange for a responsible adult to take you home and meet you inside the clinic. This does not include: taxi driver, Uber, Lyft, Wheel trans driver, etc. Plan to be at the clinic for about 2 hours from start to finish.

****Please note, that a taxi or Uber driver does not classify as an escort home.

Other

  • All minors, 15 years old or younger, must have a parent or legal guardian present to sign the consent form.
  • Kids will be discharged with two responsible adults, so that one can be with the patient during transport.
  • DO NOT ignore a head or chest cold when having oral surgery. Call immediately if you have any cold symptoms. A change of appointment may be necessary. Please notify our office 48 hours in advance of any coughs or colds that may develop.
  • Have a pillow, light blanket, trash can, and a box of tissues in the car.
  • Have an ice pack available at home to apply post operatively.

Cancellation/Rescheduling

  • A minimum of 48 business hours notice is required to cancel or reschedule any surgical
    appointments. Failure to provide sufficient notice, or if you arrive late for your appointment and it is rescheduled, or a no-show of your appointment will result in a charge of $350.00. Please contact our office if you have any questions or concerns prior to your procedure.

If you take routine oral medications, please check with Dr. Daisy Chemaly or prior to your surgical date for instructions.