Rajesh Bhalla

Pre-Operative Instructions

Our staffs of professionals provide personalized quality care safely and economically. In order for us to provide you with a safe and comfortable surgical and anesthesia experience, please read and follow the instructions below. You will receive a phone call from one of our staff a day prior of your procedure to confirm your arrival time and you should answer all questions with full clarity.

  • Do not eat or drink anything after midnight including water, gum, mints, or hard candy. Brush your teeth, gargle but do not swallow any water on the morning of your procedure. Procedure will get cancelled if you eat or drink. Our nurse for you will verify the instructions during your pre-op check up or at phone call a day before you call to confirm your scheduled procedure.
  •  Do not smoke. It is prohibited even a day before or the day of your scheduled procedure.
    • Please notify us or your physician in case you develop a cold, cough, sore throat, fever or other indications of malaise illness prior to your scheduled procedure.
  • Please you should shower or bathe the night before or morning of your and wear fresh cloths for your scheduled procedure. We will also again provide you another set of fresh hospital cloths after admission.
    • Please reach at the surgery centre ahead of time for your registration and paper work.
  • Please be with a responsible adult with you. He/ She will be responsible for your paper work and care. Dependent should be with their guardians. They should be staying for at least first 24 hours with you. This will the PROPER PERSON for the all communication FOR THE DOCTOR while before in and after your procedure. The hospital will no release you to a taxi ,cab or bus. He /She should be able to drive you home.
  • Please do not apply make-up, body lotion or any cosmetic on the day of your scheduled procedure.
  • Please wear comfortable loose clothing. Sweaters if felt for comfort.
  • Please leave all jewellery at home. Please remove all your body piercings them at home. For all your contacts, glasses, sticks, hearing aids or braces, bring a case for keeping them safe.
  • Bring your insurance cards and a photo ID along with the OPD cum admission notes with you on the day of your procedure.
    Charges explained, co-pays and deductibles are due at the time of service on admission.
  • Please take any routine blood pressure, heart, psychiatric medications or seizure, the morning of surgery with a small sip of water, just enough to get it down.
    On that day you will be signing hospital admission form. You will be undertaking that you fully understand the knowledge of the pathology, procedure chosen and its pros and con. Patient’s Rights and Responsibilities, Consent form and ownership.

Medication instructions


  • All “cardiac” or blood pressure drugs
    o EXCEPT ACE inhibitors, AT2 antagonists and diuretics (see below)
  • All epilepsy or Parkinsons drugs
  • All asthma drugs or inhalers
  • All tablets which reduce gastric acid (omeprazole, lansoprazole, ranitidine)
  • All thyroid drugs
  • All major and minor tranquilisers, which are taken regularly at home. Also anti-depressants and nicotine patches.
  • All steroids taken regularly, including inhalers
  • All immunosuppressants and cancer drugs (eg. azathioprine, tamoxifen)
  • All analgesics can be given before surgery – EXCEPT NSAID’S (Non steroidal anti inflammatory drugs)


  • All diuretics (frusemide, bumetanide, bendroflumethiazide, amiloride, spironolactone).
  • ACE inhibitors (ramipril, enalapril, perindopril, captopril)
  • Angiotensin 2 antagonists (candesartan, losartan
    o Both these drugs may drop the blood pressure during an anaesthetic.
    o Anaesthetists may request that these drugs are given before surgery but this will be requested on an individual basis. Please with-hold unless requested.
  • Diabetic treatment (Must consult with your doctor).
  • Aspirin, clopidogrel, dipyridamole, warfarin. These drugs must NOT be stopped in patients who have a coronary stent without prior discussion with an anaesthetist or cardiologist.
  • Drugs which are not essential in the short term. E.g. vitamins, iron, laxatives, osteoporosis treatment, liquid antacid medicines, HRT, anti- histamines, herbal remedies or homeopathic medicines.
  • Lithium should be omitted.
  • Non steroidal anti inflammatory drugs (eg. diclofenac, ibuprofen , indomethacin), unless prescribed by an anaesthetist as a pre-med.

Doctor/ nurse will do a health assessment after admission and will ask you about your medications. Please share all, which medication you could or could not take before your procedure. Please share your list available including dosages.

Contact Us