Any patient receiving anesthesia should not drive until the next day. A patient receiving sedation for a procedure needs a ride home. The few patients who have procedures performed under local anesthesia alone could possibly drive home.
We would strongly recommend that all patients have a ride home and be received by a responsible adult when they arrive home. Patients will not be allowed to drive, walk or take public transportation home after sedation or anesthesia. Please make the appropriate arrangements.
You will be instructed by both the anesthesia team and the surgeon as to which medications you must take. Generally we request that you take most medications on the morning of surgery. Yes, you can take them with a sip of water on the day of surgery. PLEASE bring in all your medications with you on the day of surgery. Patients using inhalers must bring them to the Center on the day of surgery. Some medications will be stopped for the surgery, particularly diabetes medication and blood thinners. You should bring these medications with you the day of surgery. Please call us with any questions you may have.
You refrain from eating and/or drinking prior to surgery in order to prevent the risks of aspirating gastric contents during your surgery. This complication is very serious and you need to strictly abide by our recommendations. This has nothing to do with nausea and vomiting after your surgery as some think.
We have very clear policies as to specific times before surgery when you must refrain from eating and/or drinking. These are all based on safety standards. Please note that the standards have been revised recently. We believe that the fasting time should be as short as possible before your surgery. You will not improve your safety by not eating or drinking longer than necessary; in fact, at times you may complicate things a bit.
Yes, you will receive a separate bill for your anesthesiologist’s professional services, as you will from your other physicians.
All operations and all anesthetics have risks and they are dependent upon many factors including the type of surgery and the medical condition of the patient. Most patients operated on in surgery centers are of the healthier group of patients, and in these circumstances serious complications, while they can occur, are fortunately very rare. To repeat – the risk of a major complication in an otherwise healthy patient is extremely low. Your anesthesiologist will assess you preoperatively and every precaution will be taken to minimize your risk. Our equipment is the most advanced and up to date. There will be very little in the acute period that we cannot handle as well as the hospital. However, we will routinely see minor problems such as nausea and vomiting, sore throat, dizziness, tiredness, headache, muscle aches, and pain, most of which are easily treated.
You and your anesthesiologist will develop an anesthetic care plan. This plan will include preoperative sedation and other medications if necessary. Most of our patients will walk in the operating room so we will generally not sedate preoperatively.
Yes, in certain situations. Some operations can be performed using a choice of different anesthetic types. Your anesthesiologist will discuss available options with you after reviewing your medical history. Your preference will be discussed so that the most appropriate anesthetic plan is made.
There are four main categories of anesthesia; general, regional, monitored anesthesia care and local anesthesia. Regardless of the category of anesthesia that you may receive, special anesthetic agents and techniques are used to provide a safe and speedy recovery. If there are reasonable choices available to you for your surgery, and often there are, you will discuss them with your anesthesiologist before the surgery.
Parking is available in the front and back of the building called Doral Pavillion (it is a fee to park). When you walk in to the building through the glass doors were are located in Suite 101 to check in with our receptionist.
The Surgery Center at Doral is Medicare Certified and accredited by the American Association for Accreditation of Ambulatory Surgery Facilities, Inc. (AAAASF) as a freestanding multi-specialty ambulatory surgical center.
We can mail your medical records to the address you specify on the Authorization form, or you can arrange to pick them up during our normal business hours, Monday-Friday, 8am-5:30pm in Suite 101.
We will fax medical records only to another health care provider or facility for continuing medical care.
Office hours are open Monday-Friday, from 8am-5:30pm and closed on national holidays.
The Surgery Center at Doral is a fully Medicare approved facility with JAHCO certification and has contracts with various major insurance carriers. This includes many workers compensation carriers and international insurances.
Dr. Cabreja, the director of anesthesia and medical director of Surgery Center at Doral, is very experienced at general and regional block anesthesia. This means you will feel absolutely no pain or discomfort during your surgery. Furthermore, major procedures are now often done with indwelling pain pump catheters so patients can go home or to their hotel room with nearly complete blockage of pain for several days after the outpatient surgery. Your surgical anesthesia will be discussed in detail with Dr. Cabreja or his colleagues in a pre-operative visit.