7777 Forest Lane (map)
Suite A-94, PMB 136
Dallas, TX 75230
This document is available as a PDF (99K).
Free PDF reader downloads and additional information
are free at Adobe.
- NOTHING TO EAT OR DRINK AFTER MIDNIGHT PRIOR TO ADMISSION.
- Shampoo your hair and scrub your scalp gently with the ANTISEPTIC
SOAP HIBICLENS which you will get from the hospital before
admission. Use this soap in the shower and WASH ALL OVER with it.
- Please provide a good contact number to my office staff since this
will be given to the anaesthesiologist who will call you the night
before surgery. Please be available and feel free to ask any
questions regarding this important service.
- Patients who are the first on the operating schedule must be
at the hospital at 6:15 AM. You will be advised by my staff exactly
where to report. All other patients will be advised regarding the
time and place to present to the hospital.
- You will be given long white elastic stockings. This is to
keep blood from clotting in your legs while you are asleep.
Put them on just before you go to the Operating Room.
- You will be given some preoperative medication to assist in
helping you to relax. Accompanying family members/friends may go to
the operating area with you. They will be shown the way to the
Surgical Waiting Room. I will talk with them as soon as I have
completed the operation and I am satisfied that you are comfortable
in the Recovery Room. You will be here for about one (1) hour.
- Following my discussion with your guests I want them to go to
the Intensive Care waiting room and await your arrival. They will
have their first opportunity to visit with you after you are settled
into the Neurosurgical ICU.
- PAIN MEDICINE will be provided to you after surgery. Injectable
narcotics are generally avoided since they will put you to sleep
rendering you difficult to examine neurologically and less able to
deep breath. This could result in pathologically increased
intracranial pressure. Brain surgery is usually not painful and
mild analgesics are usually sufficient. We do not want you to
experience intolerable pain. If you have questions about this, feel
free to ask.
- For most patients, I will want you to be awake immediately
following the completion of the operation. This permits us to conduct
a very important initial post-operative neurological examination.
- Once we are satisfied that you are sufficiently awake and
responsive, we will determine if you can begin taking oral
nourishment. Oftentimes this is within hours of having been
introduced to your new surroundings in the Neurosurgical ICU. At
first you will be offered ice chips to be followed by sips of water
and then clear fluids. Determinations concerning your ability to take
oral medications and food are made over the next few hours and
- You may anticipate that there will be one or more intravenous
(IV) lines providing you with IV fluids and medications. Many
patients will also have an arterial pressure line inserted in the
Operating Room after they are asleep. In a similar way, a bladder
catheter is inserted since we want to know about all the fluids
entering your body and all that are coming out.
- In some unusual circumstances where controlling intracranial
pressure is anticipated to be a significant problem, we may choose
to leave the endotracheal tube (the breathing tube that is inserted
by the anesthesiologist through which the anesthetic medication is
delivered) in place post-operatively. In these cases, the patient
will be sedated and breathing controlled by a special "ventilator"
device that is beside the ICU bed. The Intensive Care specialist
will be responsible for managing this aspect of your care. This is
usually discussed with the patient in advance of surgery.
This page last edited on 2/20