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Some rules :

1) Continue your usual physical or sports activity.

This helps maintain your cardiac and respiratory condition, in particular

2) If you are overweight, weight loss can reduce the risk of anesthetics

3) It is advisable to stop smoking or consuming recreational substances before the procedure

4) limit your alcohol consumption before anesthesia

5) It is important that you come without sleep late

This helps to limit postoperative sleep disorders

Fasting rules:

Unless otherwise specified during the anesthesia consultation, you should
- Stop eating 6 hours before your arrival at the clinic (solid foods, drinks with pulp, milk, sweets)

- Stop drinking 2 hours before your arrival (water, tea, coffee without milk, clear juices (without pulp)

- Do not smoke several hours before your arrival

- Not having consumed alcohol the day before
For colonoscopies, a colonic preparation should be taken. Follow the recommendations of the gastroenterologist.

In the event of non-compliance: Risk of vomiting during anesthesia with a high risk of inhalation of gastric fluid which can lead to death (Mendelson's syndrome) The state of intoxication is considered to be eating a meal.
Tobacco consumption before anesthesia significantly increases respiratory complications during anesthesia. To limit these risks, failure to comply with these rules will lead to postponement of the anesthesia.

Preoperative hygiene:

- Follow the instructions given by the surgeon / doctor, concerning the shower with either a product such as; Betadine scrub (if prescribed and in the absence of allergy) or your usual shower gel / soap and shampoo in the absence of information to the contrary by the surgeon.

A first shower is to be done the night before and the second on the morning of the surgery.

- Brush your teeth before your arrival at the clinic

Adaptation of usual treatments:

During the consultation, the anesthetist will tell you the treatment (s) to be continued , suspended or stopped , as well as the number of possible days of stopping certain drugs as well as their possible relays .
Stops and relays mainly concern the following treatments: Aspégic, Kardegic, Plavix, Duoplavin, Efient, Brilique, Arixtra, Coumadine, Previscan, Lovenox, Innohep, Xarelto, Pradaxa, Eliquis

Failure to follow these rules exposes you to the following potential complications:

-An increased perioperative hemorrhagic risk if the drugs are not stopped as prescribed.

-An increased risk of thrombotic complications (phlebitis, pulmonary embolism, vascular accident, stent thrombosis, ...) in the event of prolonged stopping of certain drugs.

The intervention could be postponed in the event of non-compliance with the instructions.

Outpatient instructions:

Your intervention / Examination may be eligible for outpatient care .

However, certain rules must be observed concerning your safety, in particular anesthetic:

- Support is essential at your home the day and the first night following your anesthesia

- You must live near a 24-hour medical center

- You should not drive for the day following the anesthesia

- Do not make important decisions after anesthesia, as your faculties may be further impaired.

- Avoid the consumption of substances; alcohol, tobacco, other recreational drugs after anesthesia.

Blood analysis and specialist consultation

It is important that you come to the anesthesia consultation with the results of the blood test prescribed by the surgeon / doctor.

Likewise, bring back the reports of additional examinations or consultations with the specialists that you have been requested (cardiologist, pulmonologist, etc.)

If certain documents were to be missing, the anesthesiologist could not conclude and have to postpone his decision concerning the type of anesthesia and therefore the intervention.

Intensive Care unit (ICU), Transfusion, ...

In some cases, your state of health may require that you stay in a Intensive Care Unit (ICU) in order to monitor yourself more closely or to set up certain respiratory aids, certain heavy treatments, etc.

An anesthesiologist-resuscitator is on call 24 hours a day, 7 days a week

The doctor in consultation or during your stay can talk to you about transfusion. in consultation, the doctor will suggest a blood saving strategy to limit the transfusion. If your red blood cell count were to decrease too much and increase the risks: cardiac for example, we would suggest a transfusion. Nevertheless, we respect your wishes and beliefs on this subject.

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