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Pre and Post Surgical Instruction Form




FASTING: Fasting for Children:  This is for your safety! Do not eat for at least 6 hours (8 hours for 10 yo or older)  prior to the appointment. Avoid solid food, milk, and breast milk. Please clean your car/car seat of food and liquids.

Severe complications may occur if food is present in the stomach during anesthesia. A charge may be applied for any appointment cancellation due to unapproved liquid or food intake.


Clear liquids are allowed up until 3 hours ( 4 hours for 10yo or older) prior to the appointment. Safe liquids include water, apple juice, grape juice, clear sodas, Jell-O, and popsicles (no solid fruit, or dairy or whip cream).


Fasting for Adults: fast for 8 hours for food, and 4 hours for clear liquids as above.


CLOTHING:  Wear short sleeved T-shirt

   Bring a small Blanket
   Bring Diapers, pull-ups, and extra change of clothes for children

   Bring a stroller to carry children home

   Remove all jewelry, watch, hair ornaments, pony tails


MEDICATION:  Do not stop taking any medications before consulting your anesthesiologist.


HEALTH STATUS:  If you have a cold or an acute asthma attack within 2 weeks prior to the scheduled appointment, please call our office.




SUPERVISION:  All patients  must have an escorted driver to leave the office. Please allows 30 minutes to 1-hour recovery time before leaving our office. A child must be in a car seat and wear a seat belt. After the procedure, you will be drowsy, with poor balance and coordination for about 6-8 hours. Children need to be supervised for the rest of the day. Avoid stairs, running, climbing, or playing outdoors. Schooling is generally permitted the next day. In some instances, a child may react in a combative manner similar to a temper tantrum. Adults are not to drive automobiles or operate machinery for the rest of the day until recovery is completed.


EATING/DRINKING:  Minor side effects such as drowsiness, dry throat, shivering, headaches, and dizziness are common. Nausea may be present but vomiting is less common.

Avoid all food and liquids for 2 hour after leaving the office. Take clear liquids such as juice, water or clear soda for 2 additional hours. Diet may be slowly advanced to soft foods such as milk, cereal, Jello, pudding, yogurt, bread, bananas,  etc as tolerated.  Avoid meat, cheese, ice cream, soup and salty foods for 6 hours. Pain and low-grade fever should be treated with Tylenol® or Ibuprofen®. Please notify Dr. Tran or your dentist if the temperature is higher than 100.5 F, or vomiting continues for more than 6 hours. Dr. Tran can be reached after hours at 571-243-4451.

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