Preoperative assessment

Arthroscopic & Minor surgical procedures

Dear Patient,

If You are scheduled for joint arthroscopy or a minor surgical procedure at our hospital.

Due to the limited extent and invasivenes of the procedure there is no need for routine preoperative laboratory tests to be performed.

However, for a better insight into your general health and any potential comorbidities you might have and medications you currently may be using, we ask you to carefully (be thorough) complete the preoperative questionnaire you received and return it either to our staff at the outpatient clinic right away or

send it to us AS SOON AS POSSIBLE via following fax number:

fax: + 385 49 587 476

or e-mail: akromion@akromion.hr

If you have any chronic health problems or conditions that require further evaluation or are taking medication that needs to be discontinued prior to the scheduled surgical procedure, our anesthesiologist will contact you as soon as possible.

Please, bring with You to the hospital all medications you currently take, important hospital discharge letters, CT/MRI/x-Ray images/CDs

If you are arriving at our hospital on the day of surgery, please do not consume any food or carbonated beverages in the morning. Moderate amounts (2-3 deciliter) of clear liquids (water, tea, pulpless fruit juice) and coffee are allowed until 2 hours prior to the surgery.

If you have any further questions, or there was a significant change in your health status in the meantime, please do contact us on + 385 49 587 487

What to do with my medications prior to surgery?

If you are taking any medication against blood clotting (“blood thinners”, anticoagulants) such as – Martefarin, Marivarin, Marcumar, Clopidogrel / Pigrel / Zyllt / Plavix / Klopidex, Tagren, Aggrenox, Xarelto, Pradaxa… please let us know right away since some of them may need to be discontinued temporarily 5-7 days prior to some surgical procedures and may not allow some regional anesthesia procedures to be performed.

Low dose antiplatelet therapy with acetylsalicylic acid (Aspirin) usually can be continued until the day of surgery.

If you have diabetes and take insulin or peroral medications to control your blood sugar levels, they need to be omitted on the morning of surgery.

Any medication prescribed to you for thyroid disease (hypofunction or hyperfunction of the thyroid gland) usually can and should be continued also on the day of surgery.

Medication for blood pressure control (hypertension) should also be continued as usual, except if you received specific instructions from our anesthesiologist to do otherwise.

If you are routinely taking drugs to control pain (“painkillers”) you should try and omit those belonging to the so called nonsteroidal anti-inflammatory drugs (NSAIDs) – e.g. diklofenak, ibuprofen, ketoprophene etc. since they might increase surgical bleeding. If needed replace them with acetaminophene / paracetamole and tramadol during the week preceding your surgery.

If necessary you will receive further information regarding preparation for surgery and handling the medications you take from our anesthesiologist, who will contact you during the week prior to your scheduled hospital admission.

For any further information please contact us on + 385 49 587 487 or by e-mail: akromion@akromion.hr

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