Sinus surgery pre operative instructions

Pre-Operative investigations you have to undergo before you go ahead with Nose and Sinus surgery

If your doctor has recommended you a sinus surgery, you might be having lots of questions running through your mind like what are the Sinus surgery pre operative care, How long does sinus surgery takes? Is sinus surgery painful?, How to prepare for sinus surgery or How to sleep after sinus surgery? Here in this article let’s begin by understanding what to expect after sinus surgery, if your sinus doctor recommended you a sinus surgery.

Firstly, you’ll have to undergo a series of blood and urine investigations as part of the major surgical profile. The reports take anywhere between a few hours to a day to reach you. Once you get these major surgical profile reports you’ll be visiting a cardiologist.

Sinus surgery pre operative care

The cardiologist will take your detailed history, will examine you, and to assess your cardiac fitness will perform an ECG and 2D echo. Sometimes he may ask for a Treadmill Cardiac Stress Test. Based on your history, the findings, and the investigation reports, he will give cardiac fitness for you. With all these reports you’ll be visiting your anaesthesiologist for the pre-anaesthetic check up or PAC.

If you have any medical conditions like diabetes, hypertension, hypothyroidism, heart, kidney, or ailments, you’ll have to take the reports, investigations, and the medications you consume daily along with you to the anaesthesiologist and If you have undergone any surgeries in the past and if the discharge summaries are available with you it’ll be really helpful for the anaesthesiologist to have a review of them.   

Anaesthesiologist will examine your medical reports, and surgical reports, and based on the findings will give fitness for the anaesthesia. If anaesthesiologist finds that any of their findings or your investigation reports are not in line, they may seek further clearance from other doctors like a gastroenterologist, pulmonologist, or an endocrinologist.

Sinus surgery pre operative care

If they give fitness for surgery for you they may suggest what medications you have to take, what medications you should not take in the days leading to the surgery, and also will give you other instructions you have to follow before coming to further surgery.

What are the Pre-Operative instructions to follow on the day of surgery? How to prepare for sinus surgery

If you have a habit of smoking you have to stop smoking at least three weeks to a month before your surgery, because smoking will cause scarring in the nose and also will hamper with the healing after the nose and sinus surgery.

Sinus surgery pre operative care

If you take any herbal medicines like Ginseng, Ginkgo Biloba, or Ginger Extracts you have to stop taking these medications at least two weeks before the surgery, because these will cause a lot of bleeding during the surgery.

If you’re a cardiac patient who’s taking blood thinners like Clopidogrel or Aspirin you have to stop taking these medications at least 72 hours before going ahead with the nose and sinus surgery. Again, because these medications will cause increased bleeding during the surgery.

You should not consume any food or liquids at least six hours before the beginning of your surgery.

This protocol should be strictly followed and the anaesthesiologist may postpone your surgery. if you do not follow this. If you are a hypertensive or hypothyroid patient you should take your medication as usual with small sips of water.

If you are a diabetic, however, you should refrain from taking your medication on the day of surgery. You have to carry all the medications which you take daily along with you. If you’re an asthmatic who uses inhalers you should carry the inhalers also along with you. You have to make arrangements so that a friend or a family member can stay with you during your entire admission to the hospital, which is usually not for more than one night. You should also make arrangements for someone to drive you to the hospital and from the hospital after the surgery.

Sometimes if the anesthesiologist feels that your anxiety is causing fluctuations in the blood pressure they may suggest an anxiolytic-like Alprazolam. Alprazolam tablet should be taken on the night before the surgery, and on the day of surgery with small sips of water. This medication can cause sedation for you. Once the admission and consent formalities are completed you’ll be shifted to the pre-operative ward. In the pre-operative ward, the anesthesiologist will again do a review pre-anesthetic checkup and give fitness for your surgery. They’ll place an IV cannula in your vein.

Sinus surgery pre operative care

In the pre-operative ward, the anaesthesiologist will again do a review pre-anesthetic check-up and give fitness for your surgery. They’ll place an IV cannula in your vein. Once you are shifted to the preoperative ward they will give test doses for the anesthetic solution and the antibiotic solution and see how you are responding to these particular medications.

Hope we could explain in detail about Sinus surgery pre operative care, How to prepare for sinus surgery. How to sleep after sinus surgery and if your looking for sinus surgery recovery tips or Sinus surgery in India, Get an appointment with sinus specialist doctor in Hyderabad, Dr. G V K Chaitanya Rao at Sinus Doctor.

FAQ's

  • You have to stop smoking at least three weeks to a month before your surgery
  • If you take any herbal medicines like Ginseng, Ginkgo Biloba, or Ginger Extracts you have to stop taking these medications at least two weeks before the surgery
  • If you’re a cardiac patient who’s taking blood thinners like Clopidogrel or Aspirin you have to stop taking these medications at least 72 hours before going ahead with the surgery
  • You should not consume any food or liquids at least six hours before the beginning of your surgery.
  • If you are a hypertensive or hypothyroid patient you should take your medication as usual with small sips of water.

You’ll be sleeping with your head elevated a little up, that is your head will be at a little upper position than your legs. This is to reduce the pressure on your head.

  • Stop smoking at least three weeks to a month before your surgery.
  • If you take any herbal medicines like Ginseng, Ginkgo Biloba, or Ginger Extracts you have to stop taking these medications at least two weeks before the surgery.
  • If you’re a cardiac patient who’s taking blood thinners like Clopidogrel or Aspirin you have to stop taking these medications at least 72 hours before going ahead with sinus surgery.
  • You should not consume any food or liquids at least six hours before the beginning of your surgery.
  • If you are a hypertensive or hypothyroid patient you should take your medication as usual with small sips of water.

If you have uncontrollable bleeding from the front of the nose or the back of the nose, you have to call your operating sinus surgeon or his team immediately.

You’ll have to come for review visits on the 20th day, and the 40th day, after your nose and sinus surgery.

Medically reviewed by SinusDoctor,
Dr G V K Chaitanya Rao

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