Instructions Before Intravenous (IV) Anesthesia Sedation Monroe and Charlotte

Intravenous (IV) sedation is performed to make your surgical experience relaxing and pleasant. In order to provide your anesthesia safely, please read and follow these instructions.

Do not have anything to eat or drink for 6 hours before your surgery appointment. If told to take a medication before surgery, take it with a few sips of water only.
A responsible adult must accompany the patient to the office, remain in the office waiting room during the procedure, and drive the patient home. They will need to stay in the recovery area until your post-operative instructions are completed and you are released.
In order to monitor your heart and blood pressure, and to start the intravenous sedation, please wear a short sleeve shirt.
Please brush your teeth just before coming for your surgery in order to reduce bacteria and prevent infection.
If you take routine oral medications, please check with Dr. Patty and Dr. Valiquette prior to your surgical date for instructions.
Contact lenses, jewelry, and dentures must be removed at the time of surgery.
Do not wear lipstick, excessive makeup, or nail polish on the day of surgery.
If you have an illness such as a cold, sore throat, stomachache, please notify the office.
No smoking (or use of any tobacco products) at least 12 hours before surgery. Ideally, cut down or stop smoking (or using tobacco products) as soon as possible prior to the day of surgery.
It has been explained to me, and I understand that I should not have anything to eat or drink for 6 hours prior to my surgery appointment. It has been explained to me that if I have been instructed to take a medication before surgery, this should be done with a few sips of water only. Therefore, I understand that I will not be able to undergo IV sedation if I have anything to eat or drink within 6 hours of my surgery appointment.

(This information and form are signed and dated by the Monroe and Charlotte patient at the consultation appointment.)