Outpatient surgical patient information

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OUTPATIENT SURGICAL PATIENT INFORMATION

GENERAL INFORMATION

The purpose of Outpatient Surgery is to perform, in a safe and comfortable setting, surgery under local, regional or general anaesthesia, without the need for you to be admitted to hospital. You should take the following factors into account to contribute to a successful outcome of your procedure:

  1. You must have a preoperative study (ECG, blood tests, etc.), so that the anaesthesiologist can assess your physical condition at the pre-anaesthetic visit, except in surgery with local anaesthesia.
  2. You will be given a series of preoperative instructions, and if the anaesthesiologist deems it necessary, you will be given the anaesthetic medication to take either the night before and/or two hours before the scheduled surgery.
  3. In the days leading up to the operation, you should cut down on smoking and drinking as far as possible.
  4. In the event of complications during surgery or in the immediate postoperative period, the doctor will act accordingly, and if necessary will treat your income at the Hospital Universitario Dexeus, if so deemed suitable.
  5. You should arrange to return home in the company of a responsible adult, and in the course of the first 24 hours after the operation you should be accompanied at home (your regular or circumstantial home) by this responsible adult for the first 24 hours.
  6. Must notify the center of ambulatory surgery (CMA) or your doctor of the occurrence of an abnormal situation in your recovery drive any kind of vehicle, or use machinery cannot make important decisions from the night before until 24 hours after the intervention.

The day before surgery

Should you be in telephone contact with the CMA tel. 93 227 47 76 in the morning from 9-13 hours, to confirm the time that should arise in the CMA and resolve the doubts you may have about:

  • fasting
  • regular and/or preanesthetic medication
  • report any changes in your current health condition since your last visit to your doctor (fever, etc.)

On the day of surgery

Follow the instructions contained on the preoperative sheets strictly.

After surgery

Once the intervention will be transferred / to the room of postanesthesia recovery, it will be lying down / in a stretcher, monitored / (under the control of their vital signs) and watched / by a nurse until the anesthesiologist deems that it is able to pass to his box of recovery or prealta, which will be in the company of a responsible adult (his companion) until you are able to be discharged and move to his home. In summary, the postoperative recovery is done in 3 phases: two in the CCA (between one and six hours) and the third in his home. The first two phases are not necessary if only has been administered you local anesthesia usually.

Before discharge, you will be given written postoperative instructions, that will also be explained to you (diet, pain medication and activities that you may carry out). (See general postoperative instructions).

Make arrangements for returning home or to your accommodation, always accompanied by someone.

Once home/in your accommodation

Follow the instructions you were given (postoperative instructions).

If you have any queries or problems

- Call the Outpatient Surgery Centre: 93 227 47 76.

-Go to the Emergency Room of the Hospital Universitario Dexeus.

We will be delighted to help you with anything you need.

The day after surgery

You will receive a phone call to monitor your status.

GENERAL PREOPERATIVE INSTRUCTIONS
  1. You should report any anomaly or problem that has arisen since your last visit to your doctor or surgeon. If, in the days leading up to the surgery, you present fever, cough or cold, please contact the Outpatient Surgery Centre (OSC)
  2. The day before surgery (IQ) should take your usual medication (for high blood pressure, heart, diabetes,...) unless your doctor has told you otherwise, dinner normally (without excess) before 11 o'clock and take the preanesthetic medication before bedtime (if so the anesthesiologist has scheduled it is).
  3. On the day of surgery: If your operation is in the morning, refrain from taking solid or liquid food, candy or chewing gum from the night before. You may only take water with your regular medication (unless indicated otherwise by your doctor), as is one glass of water to take the pre-anaesthetic medication two hours before the time scheduled for surgery.
    • If operating late in the morning or afternoon should keep a minimum fast of six hours (or 4 hours in ophthalmological surgery) for solids and liquids, candy, or gum, you can only drink water to take your usual medication (unless the doctor has told you otherwise) and a glass of water to take the preanesthetic medication two hours before the time scheduled for the IQ.
    • Do not wear make-up, lipstick or nail lacquer. Neither should you bring jewellery, money or other valuables, but if you forget to leave them at home or want to bring them with you then you should leave them with your companion.
    • Children are allowed to bring their favourite toy. They should have a shower before leaving home in order to avoid possible infections, and wear comfortable clothes.
    • Inform the staff if you have any type of mobile prosthesis (lenses and/or non-fixed denture).
    • Do not come with a lot of friends or relatives. Two at the most, please. As far as possible, only one adult person will be allowed to access the surgery area (resuscitation or pre-admission room) to be with the patient once the operation is over.
    • 60 minutes must be filed (CCA) Ambulatory Surgery Center admissions (often come with less time) prior to the scheduled time for surgical intervention, please be on time and don't forget to bring your folder with the documentation that we have delivered to you.

Anaesthetic techniques in surgical procedures

Different surgical procedures corresponding to different specialities are performed in the Outpatient Surgery Centre, as the corresponding table shows. The most frequently used anaesthetic techniques are:

General anesthesia (G):

  • General intravenous (intravenous anaesthesia)
  • General inhalatory (anaesthetic gases)
  • General balanced (combination of both)

Spinal anaesthesia:

  • Epidural (E)
  • Intradural (I)
  • Plexus Anaesthesia:
    • Axillary (Ax)
    • Supraclavicular techniques (BSC)
  • Regional endovenous (REV)
  • Local (L)
  • Local sedation (LS)
  • Paracervical (PC)
GENERAL POSTOPERATIVE INSTRUCTIONS

It is very important that you understand and follow the instructions provided below to ensure a satisfactory recovery.
Report any abnormal situation in your recovery to your doctor:

  • excessive bleeding
  • excessive pain
  • inflammation
  • reddish-coloured wound
  • chills
  • fever (more than 38ºC)

Our recommendations:

  1. You should be accompanied by a responsible adult over the first 24 hours, as certain anaesthetics and pain medications can cause dizziness, nausea, vomiting or drowsiness. If this situation persists, call the Outpatient Surgery Centre (OSC).
  2. Stay in bed for the first 24 hours. After that you can step up your activity gradually, unless instructed otherwise by your doctor.
  3. Go back to your normal diet gradually. Start with fluids and gradually introduce solid food.
  4. Do not drink alcohol until 24 hours after surgery. Refrain from smoking in this initial 24-hour period since it may cause dizziness, nausea or vomiting.
  5. It is dangerous driving, cycling or operate machinery after anesthesia, so it must not lead any kind of vehicle or operate any machinery until 24 hours after the intervention. You must not make important decisions in this period of time.

If you have any questions or problems, call the Outpatient Surgery Centre on 93 227 47 76 or go to the Emergency Room of the Hospital Universitario Dexeus. We are at your disposal for anything you may need.

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