Reminder : Medications to take or skip the day of surgery
- On the day of surgery, do not take any medications (including heart, blood pressure, and diabetes medications) before seeing the anesthesiologist. She or he will determine which medications to take or to avoid.
- Inhalers must be taken on the morning of your surgery even if you normally only use them as needed.
Take note that…
If on the day of your operation you have a fever, flu, sore throat, diarrhea, or are pregnant, it is best to postpone surgery. If, for whatever reason, you must postpone your operation, directly notify the Centre Métropolitain de Chirurgie nursing staff by calling 514-332-7091, extension 200. If your call is not answered, you can leave a voicemail.
If, for whatever reason, you must postpone your operation, please note that these tests are valid for a period of:
- 6 months for blood tests;
- 12 months for an electrocardiogram.
- In the operating room
- Recovery room
- Returning from the recovery room
- Pain-relief support
- Diet, mobility, and rest
Report to the reception at the Centre Métropolitain de Chirurgie on the day and time designated by your surgeon.
You will be received by a member of the nursing staff who will also complete your admission procedures with you. You will:
- fill out a health questionnaire that will be added to your file;
- show your health insurance card to identify yourself and so that we can record its number;
- provide an updated list of your medications. These medications must be in their original containers – we cannot accept medications in dosette containers prepared at home or at the pharmacy.
Afterwards, the nursing staff will:
- take your blood pressure, pulse, and temperature;
- ensure that all required information is in your medical file;
- ask you to sign a consent form for surgery and for anesthesia;
- ask, if you are woman of childbearing age, for a urine sample to perform a pregnancy test;
- weigh you;
- answer all of your questions;
- fit you with an identification bracelet;
- guide you to your room or to the day surgery room;
- ask you to wear a hospital gown, remove your underclothes, dentures, glasses or contact lenses, and to replace your tampon with a sanitary napkin;
- administer, if necessary, premedication tablets to prevent postoperative pain and reduce the risk of nausea and vomiting.
The anesthesiologist and your surgeon will meet you prior to your surgery.
When the time comes, a member of the care staff will bring you to the operating room’s waiting room. Afterwards, a nurse will accompany you to the operating room.
A member of the operating room nursing staff will again verify your identity and your medical file. Should you have any questions, do not hesitate to ask. Upon arrival in the operating room, we will assist you onto the operating table.
The operating room is cool and has many devices with special lighting. You will be affixed with various devices in order to monitor your condition throughout the surgery, such as your heart rate and blood pressure. For general or regional surgeries, an intravenous infusion will be introduced by a member of the anesthesiology team to keep you hydrated and to administer medications during your surgery.
Generally, the team present in the operating room is made up of your surgeon, an assistant (if necessary), an anesthesiologist, a member or members of the nursing staff, a respiratory therapist, and an attendant.
The anesthesiologist will meet with you prior to your surgery to decide, together, based on your medical history and planned surgery, which type of anesthesia to use.
General: The anesthesiologist will introduce enough medication intravenously to make you sleep completely.
Local (spinal anesthesia): This type of anesthesia is aimed at one part of the body only. Medication is used to eliminate feeling and motor function in this part of your body. You will not feel anything while remaining awake. Medication to help you relax may be administered.
Local with sedation: Only the operated region will be affected by the injection of anesthesia. Medication will be administered and you will be semi-conscious and extremely relaxed throughout your surgery.
Local WITHOUT sedation: For this type of anesthesia, the presence of an anesthesiologist is not required. Only the operated region will be insensible to pain following injection of local anesthesia by your surgeon.
For all surgeries under general or regional anesthesia or that involve sedation or analgesia, a stay in the recovery room is required. This stay may vary between 45 minutes and 2 hours depending on the type of surgery and the recovery time.
You will be under the continuous supervision of the nursing staff who will regularly verify your pulse, oxygen saturation, blood pressure, respiration, pain, dressings, etc., until your transfer to the care unit. If you experience any nausea, pain, or discomfort, do not hesitate to mention this to the staff as they are there to help you.
Upon your return from the recovery room, you will be transferred to your room where an attendant will help you from your stretcher and into bed. The nursing staff will check your pulse, blood pressure, respiration, dressing, pain, etc.
Edema, swelling, and bruising of the affected area are often present and will disappear during the subsequent weeks.
If your type of surgery allows, the nursing staff will apply ice to the operated area. This will help to control swelling of the operated area.
If you have undergone surgery that does not require hospitalization (day surgery), you will stay in the care unit for a period of about 2 to 3 hours, after which your discharge will be authorized and you will be allowed to return home with your companion. Recovery time may vary according to your ability to recover.
Postoperative pain varies from person to person. Generally, pain is more intense during the first 48 to 72 hours following surgery. It will decrease gradually over time. It is essential to relieve your pain, to rest, and to gradually resume your daily activities.
Unrelieved pain can slow recovery and have a negative impact on sleep, digestion, and anxiety. The nursing staff will frequently ask you to describe your pain on a scale of zero to 10, zero meaning a complete absence of pain and 10 indicating the worst pain. Remember that the more intense the pain is and the longer you wait, the more difficult it is to completely relieve it.
If you are at home, use this pain scale to determine when you should take an analgesic. Be sure to follow the prescription and your pharmacist’s recommendations.
Following surgery, it is recommended to begin with a light meal in order to avoid nausea. We recommend you start with a broth, soup, crackers, or Jell-O. If you do not experience nausea, you may gradually resume a regular diet. Increase your intake of water and fibres in order to help with bowel elimination as certain pain medications can cause constipation.
Mobility and Rest
A few hours after your arrival in the care unit, the nursing staff will help you to stand for the first time. Afterwards, move about according to your tolerance. Walking helps to relive pain, stimulate blood circulation in the legs and prevent the stagnation of blood in your veins which can cause blood clots (thrombophlebitis). A balance between rest and activity is essential
- Resume activities while respecting your surgeon’s recommendations.
So that we can maintain an environment conducive to relaxation and in order to respect other patients’ ability to rest, we ask that you avoid making noise and having loud conversations.
Please note that only one person at a time is allowed to visit you during our visiting hours, which are 9:00 am to 8:00 pm.