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University of Miami Hospital

Day Of Surgery

Day of Surgery

You or your loved one may feel anxious on the day of surgery, so we present you with information to help you understand what to expect on the day of surgery.

Following Your Doctors Guidelines
Unless your surgeon or pre-operative nurse told you otherwise, you should take your regular medicines on the morning of surgery. Take these medicines as directed, with only small sips of water. If you are diabetic, follow your doctor’s guidelines about your insulin.
Except for mediations as noted, do not have anything to eat or drink. Do not swallow anything, including the water you use to brush your teeth.
Remove any make-up before surgery. During surgery, we will check your circulation by looking at your skin, so it should not be covered with make-up.

Arriving for Your Surgery
Please arrive at one of the following surgery sites as instructed by your surgeon’s office or the pre-op nurse. If you were not given a specific arrival time, please arrive 1 ½ hours before the time of your surgery.

Surgery Locations & Parking
UMH 1400 NW 12th Ave, Miami, FL 33136
UMH Out Patient – 1295 NW 14th ST, Miami, FL, 33136
UMHC/ SYLVESTER 1475 NW 12th Ave, Miami, FL 33136

Pre-Surgery Preparation & Visitors
Once in the pre-op room, we ask you to change into a hospital gown. You must also remove glasses, contact lenses, hearing aids, dentures and hairpieces before you go to the operating room (OR).
The nurse will review your medical history and take your temperature, blood pressure and pulse. Be sure to tell the nurse the exact time you last had anything to eat or drink.

We will place an IV (into the vein) line in your hand or arm so we can give you fluids and medicines. Based on your specific needs, antibiotics or other medicines may be given. To prevent blood clots, you may also wear sequential compression devices (SCDs). SCDs gently squeeze your calves every so often to copy the muscle movement that happens when you walk.

If you are a female capable of conceiving, we may perform a pregnancy test.
Your surgeon, anesthesiologist, or primary care doctor, as well as residents, nurse anesthetists, physician assistants and medical students may participate in your care.

  • A member of the surgery team will:
    • Confirm the type of surgery you are having
    • Mark the surgery site (if needed)
  • A member of the anesthesia team will:
    • Review the plan for anesthesia
    • Ask about any past problems you may have had with anesthesia
    • Confirm that you have not eaten or drank that morning and review your medical history

While in the pre-op room, only one adult visitor may be with you at a time. To maintain your privacy, we may ask visitors to leave the room when we ask you personal questions about your health.
Other visitors can wait in the family waiting room. Visitors may not go with you when you are moved to the OR.
We make all efforts to begin surgery at your scheduled start time, however, there might be a chance that your surgery will start sooner or may be delayed.
Before your surgery starts, your surgeon will tell you and your family how long your surgery is expected to last. Once you are in the operating room and have received anesthesia, your surgery will begin.

Anesthesia
Anesthesia is a short-term absence of feeling. The anesthesiologist and the surgeon will talk with you to plan the type of anesthetic that is best for you. This is based on your planned surgery and your medical history. There are five types of anesthesia that may be used.

Local anesthesia is a numbing medicine injected around the site of the incision. It causes a lack of feeling at the incision area only. The rest of the body is not affected. You will be awake during surgery or some sedation can be given. The surgeon gives this type of anesthetic only when operating on a small part of the body.

Monitored Anesthetic Care uses both a local anesthetic at the incision site and IV medicine to relax or sedate you (sedation). It produces a sleepy state. Due to the IV medicine, you may not recall your time in the OR. Once surgery is over, you will be fully awake.

Nerve Block is a type of local (regional) anesthesia used for arm or leg surgery. Numbing medicine is injected close to a nerve. The nerve block numbs the entire limb. Sedation or a light general anesthesia may also may be given. This allows you to be in a sleepy state during surgery. Depending on the surgery, your limb may be numb for 24 to 48 hours. This numbness is also helpful in managing post-operative pain.

Epidural or Spinal anesthesia is a numbing medicine that is injected into the mid or lower back. All of the nerves going into the incision area and nearby areas are numbed. This absence of sensation (feeling) is limited to one region (localized). With a spinal, you may have a lack of feeling from the waist to the toes. Sensation usually returns in a few hours. Sometimes, patients have trouble urinating after an epidural or spinal. This is normal and usually lasts only a period of short time.

General anesthesia may begin with an IV (placed in a vein) medications followed by breathing anesthetic gases mixed with oxygen. You will not be aware of the surgery or your surroundings. A breathing tube may be placed into your windpipe to help you breathe during surgery (this is why some patients have a slight sore throat on the day after surgery). Before surgery, be sure to inform the anesthesiologist about any your crowns, bridges or loose teeth so that extra care can be taken.