The living room
Reminder:
You should have taken a bath or shower and removed all jewelry, chains, chains, earrings, rings, body piercings, hair ties, makeup, and nail polish. Also, remove your vaginal tampon and use a sanitary pad if necessary.
Medication on the morning of surgery
The day of your surgery, Do not take any medications, including heart, blood pressure, and diabetes medications, before meeting with the anesthesiologist. The doctor will assess which medication to take or to avoid. If in doubt, you can check with the CMC nursing staff at (514) 332-7091 ext 211.
Respiratory pumps should be taken the morning after surgery even if you normally only take them as needed.
REMINDER: If your surgeon has told you to take your usual medication on the morning of your surgery, you can take it with a sip of water only (about 15ml).
Where to show up
You must go to the reception of the CMC Surgical Complex located at 999 De Salaberry Street, Montreal, Montreal, QC H3L 1L2 for your admission. The main entrance is on the side street Poincaré.
You must go there on the day and at the time designated by your surgeon.
! Please note that the time of your admission does not correspond to the time of your surgery.
Only one chaperone is allowed during your stay at the CMC.
Admissions
You will be welcomed by a member of the nursing staff who will complete your file with you and answer all your questions.
We will ask you:
- an up-to-date list of your medications OBLIGATORILY in their original containers. We will not be able to accept medications in a pod prepared by the pharmacist;
- your health insurance card.
The consultation
On the morning of your surgery, your anesthesiologist and surgeon will meet with you to discuss anesthesia and surgery and they will answer any questions you may have.
Premedication
Approximately two hours before your surgery, the nursing staff will give you premedication in the form of tablets that will be used to reduce postoperative pain as well as the risk of nausea and vomiting.
Anesthesia
The anesthesiologist will meet you before surgery and it is with him that you will decide, based on your medical file and the planned surgery, which type of anesthesia will be preferred.
Générale : The anesthesiologist will give you the appropriate medication by intravenous infusion. You will be completely asleep.
Regional (Spinal anesthesia): It is characterized by the anesthesia of only one part of the body. A medication will be used to suppress sensations and motor skills in this part of your body. You won't feel anything while you're still awake. You may be given medication to help you relax.
Local with sedation : Only the operated part will be affected following an injection of local anesthesia. You will be given medication and you will be semi-conscious and very relaxed throughout your surgery.
Local without sedation : For this type of anesthesia, the presence of the anesthesiologist is not required. Only the operated part will be insensitive to pain following an injection of local anesthesia by your surgeon.
In the surgery room
A nurse in the surgery room will check your identity and medical records again. Feel free to ask questions if you have any.
Those present are usually your surgeon, an assistant if necessary, an anesthesiologist, one or more members of the nursing staff, a respiratory therapist, and an attendant.
Wake up room
Immediately after surgery, you will be transferred to the recovery room. It is normal to feel nauseous and vomit at this time. These symptoms are among the side effects of anesthesia.
The time spent in the recovery room is approximately 30-45 minutes and will allow you to recover under the continuous supervision of the nursing staff.
Medication
At any time before your surgery:
- Continue taking your contraceptive pill if necessary;
- Continue taking your antidepressants and neuroleptics;
- Take acetaminophen safely (Atasol®, Tylenol®, Paracetamol®, Doliprane®).
Medications to stop
It is your responsibility to check whether or not the medications you are taking contain any of the products listed below. If in doubt, consult your doctor or pharmacist.
2 weeks prior to surgery, stop:
- natural health products
- Homeopathic products
- Vitamins
- Products containing garlic (allicin).
10 days before surgery, stop:
- acetylsalicylic acid such as Aspirin® and any other product containing acid
- anti-inflammatories (unless otherwise advised by your doctor or surgeon) such as Advil®, Ibuprofen®, Celebrex®, Indocid®, Motrin®, Naprosyn®, Naprosyn®, Orudis®, Orudis®, Orudis®, Vioxx®, Voltaren®, etc.;
- cold and flu medications such as Tylenol Sinus®, Advil Sinus®, Reactin®, cough syrup, etc.
If you are taking medications for heart, blood pressure, and diabetes, continue to take them until the day of your surgery. To find out whether or not you should take them on the morning of the day of surgery, refer to the section” The day of surgery — Medications to take or omit ” on page 7 of this document.
Tobacco
We recommend that you stop smoking cigarettes and/or e-cigarettes containing nicotine and nicotine products at least 6 weeks before and 8 weeks after your surgery. Nicotine and the toxic substances contained in tobacco can constrict small blood vessels and therefore
- slow the healing of your wounds and thus increase the risk of wound infection;
- increase the risk of respiratory problems and pneumonia after surgery
- cause nausea (heart pain), vomiting, and excessive coughing at dawn, which increase the risk of bleeding after surgery.
! Nicotine substitutes (Nicorette® or others) are also contraindicated during this period since they have the same harmful effects as cigarettes.
Cannabis
Cannabis can be consumed for medical purposes under prescription. In some contexts its use may be authorized. However, smoking cannabis, like smoking cigarettes, interferes with the deterioration of your respiratory system and can interfere with your post-operative recovery. Since no studies confirm a safe threshold for cannabis consumption during the preoperative and postoperative periods, the safest approach is not to consume it. If you are using cannabis to alleviate a health condition, please discuss it with your surgeon.
Alcohol
Stop drinking alcohol two weeks before and three weeks after surgery. Mixing alcohol and medication can cause unpredictable adverse reactions.
Hair dye
It is important to avoid applying hair dye ten (10) days before and thirty (30) days after a face-lift surgery.
Plan your return home now
Transport and planning of an escort for your return home : You must be accompanied when leaving our establishment.
Loose clothing and shoes that are easy to put on : To be provided for your comfort and to facilitate your return home.
Meals and snacks : Cook food, freeze it, and buy non-perishable food so you don't have to cook when you get home.
Cleaning your home : You will be limited in your movements as well as in the weight you can lift. You will probably need help with household activities.
Thermometer : Make sure you have a thermometer at home to check your temperature as needed.
Ask a loved one to be available within the first 24 hours : This person can accompany you on your trips and, if necessary, support you with your personal care and daily activities.
Return to work and notice to your employer : The recovery period varies from surgery to surgery and according to the nature of your job. If you need a sick leave certificate, please discuss it with your surgeon.
Feeding
It is important before and after surgery to incorporate fiber and protein into your diet to speed up the healing process. A good diet balance will also improve your immune function, giving you better protection against infection.
Canada's Food Guide is a good reference when it comes to food. You can ask the health care staff for a copy.
Change in your health condition
If the day before your surgery you have a fever (temperature), you have a flu, diarrhea, or vomiting, you should promptly notify the CMC nursing staff by calling 514 332-7091, extension 211. You can leave a message on the voicemail.
Change in your health condition
An electrocardiogram at rest and with interpretation will be required if you are 40 years of age or older. Upon analysis of it, additional examinations may be requested by your surgeon.
Please note that it is valid for a period of 4 months.
One-day surgery
You will then be transferred to our one-day surgery unit for approximately 2 hours and your companion will be allowed to come and visit you. In order to respect the rest of the other patients, one person at a time will be allowed to visit you.
Hospitalization
If your surgeon has advised you to spend a night at the CMC, you will be transferred from the recovery room to your room where a staff member will help you get from the stretcher to your bed. The nursing staff will check your pulse, blood pressure, breathing, band-aid, pain, etc.
Departure home
You will be medically released when your pain is well controlled and you are able to urinate for the first time. At this point you will be allowed to leave the CMC with your chaperone. Before you leave, you will receive your departure prescription as well as information about your post-operative home care.
! You must be accompanied when leaving our establishment.
Pain
Be aware that the higher your pain, the more difficult it will be to relieve. Pain is often more severe for 48 to 72 hours after surgery. Unrelieved pain can slow your recovery and have negative impacts on sleep, digestion, and anxiety.
Here are the instructions to allow you to better control it.
- Be sure to take narcotic pain relievers regularly, as prescribed by your surgeon, for the first 48 hours.
- You can also combine taking acetaminophen (Tylenol®) with narcotic pain relievers if the pain is not sufficiently relieved. See your doctor if your pain does not improve.
- After 48 hours, you can continue taking narcotic pain relievers or acetaminophen (Tylenol®) as needed if the pain becomes bothersome.
Always respect the medical prescription and refer to your pharmacist or doctor if necessary to ensure the safe use of acetaminophen.
It is forbidden to take alcohol and drive a motor vehicle while taking narcotic pain relievers.
Refer to the document Narcotic Pain Relievers Guide which was given to you upon admission. It is also available on our website at www.cmcmontreal.com.
Feeding
The diet will start with a light meal. If you don't feel nauseous, you can gradually return to a regular diet.
Mobilization
After your surgery, the nursing staff will help you get up for the first time. Afterwards, you will be encouraged to mobilize very often in order to prevent circulatory and pulmonary complications.
Rest
After your surgery, you will need to rest.
In order to respect the rest of the other patients, Please note that only one person at a time will be allowed to visit you. Also, we will ask you to avoid noise and loud conversations.
Our visiting hours are from 9 am to 8 pm.
One-day surgery
You will then be transferred to our one-day surgery unit for approximately 2 hours and your companion will be allowed to come and visit you. In order to respect the rest of the other patients, one person at a time will be allowed to visit you.
Hospitalization
If your surgeon has advised you to spend a night at the CMC, you will be transferred from the recovery room to your room where a staff member will help you get from the stretcher to your bed. The nursing staff will check your pulse, blood pressure, breathing, band-aid, pain, etc.
Departure home
You will be medically released when your pain is well controlled and you are able to urinate for the first time. At this point you will be allowed to leave the CMC with your chaperone. Before you leave, you will receive your departure prescription as well as information about your post-operative home care.
! You must be accompanied when leaving our establishment.
Pain
Be aware that the higher your pain, the more difficult it will be to relieve. Pain is often more severe for 48 to 72 hours after surgery. Unrelieved pain can slow your recovery and have negative impacts on sleep, digestion, and anxiety.
Here are the instructions to allow you to better control it.
- Be sure to take narcotic pain relievers regularly, as prescribed by your surgeon, for the first 48 hours.
- You can also combine taking acetaminophen (Tylenol®) with narcotic pain relievers if the pain is not sufficiently relieved. See your doctor if your pain does not improve.
- After 48 hours, you can continue taking narcotic pain relievers or acetaminophen (Tylenol®) as needed if the pain becomes bothersome.
Always respect the medical prescription and refer to your pharmacist or doctor if necessary to ensure the safe use of acetaminophen.
It is forbidden to take alcohol and drive a motor vehicle while taking narcotic pain relievers.
Refer to the document Narcotic Pain Relievers Guide which was given to you upon admission. It is also available on our website at www.cmcmontreal.com.
Feeding
The diet will start with a light meal. If you don't feel nauseous, you can gradually return to a regular diet.
Mobilization
After your surgery, the nursing staff will help you get up for the first time. Afterwards, you will be encouraged to mobilize very often in order to prevent circulatory and pulmonary complications.
Rest
After your surgery, you will need to rest.
In order to respect the rest of the other patients, Please note that only one person at a time will be allowed to visit you. Also, we will ask you to avoid noise and loud conversations.
Our visiting hours are from 9 am to 8 pm.