PreOp | Dr. Ben Petre

Dear Patient,

Thank you for choosing Dr Ben Petre and the team at OSMC for your orthopedic surgery. To ensure a successful outcome Dr. Petre recommends that you follow a specific set of pre-operative and post-operative instructions and guidelines set forth by his medical and rehabilitation team. You will find all of these instructions and the rehabilitation protocol included in your preop packet and also online

Typically, Dr. Petre will have you schedule a follow-up medical appointment at 2, 6, and 12 weeks after your surgery date. At these appointments Dr. Petre will re-evaluate your progress, assess healing, range of motion, and strength in order to determine if you are appropriate for progressing to the next phase of your post-operative rehabilitation.

Before your surgery, you should schedule your first appointments with physical therapy to begin the day after your surgery unless otherwise instructed. At your PT visits, your physical therapist will meet with you to answer your questions, review your progress, work with you to acheive your goals, modify your current program if needed, and progress you to the next phase of your post-operative rehabilitation program when appropriate. Physical Therapy is a valuable and important component of your post-operative recovery to ensure a successful outcome following your orthopedic surgery.

Pre-Operative Visit
Goals for todays Pre-Op visit:
• Dr Petre or one of his assistants will re-examine you and confirm your need for the procedure
• The procedure, risks, benefits, alternatives to surgery will be reviewed
• You will receive your post-operative instructions and any necessary prescriptions including your pain prescription
• The logistics of your surgery day will be reviewed including where and when to arrive, when to stop eating be-fore your surgery, how long to expect to be in the hospital, and what to expect on the day of surgery.

If you did not receive specific instructions regarding eating and drinking, STOP eating at midnight before your surgery.

Pre-Operative Medical Clearance
Often, we will order routine labs including blood work and urine tests prior to surgery. Dr Petre may also ask you to see your internist and possibly your cardiologist for their preoperative recommendations and clearance if you meet any of these following criteria:
• Age 55 or more
• Previous history of problems with anesthesia
• Previous history of any cardiac (heart) problems including heart attack, arrhythmia, chest pain,
previous heart or lung surgery, etc.
• Bleeding or blot clot history
• Lung problems such as asthma, cystic fibrosis, restrictive lung disease, etc.

Where Should I go for my surgery?
Surgery will either be scheduled at the Edwards surgical Pavilion or the Hospital Pavilion 2nd floor surgical suite. Both are located at:
2001 Medical Parkway
Annapolis, MD 21401.

Both are in the East campus. Parking for Edwards is in Garage C, for Hospital in Garage A.

SURGERY

PARKING

When should I arrive?
What is my surgery time?
Surgery times are not set until the business day prior to surgery and
are subject to change! You will receive a phone call from the surgery department on the business day prior to your surgery in the afternoon to confirm your surgery time and your arrival time. You will need to arrive well before your surgery time.

What should I bring with me to surgery?
• Wear loose fitting clothes that are easy to get on and off, appropriate for the season.
• Shoes that are easy to get on and off and are supportive are advisable.
• Bring your surgery packet that you received at your pre-operative visit including all of this paperwork and especially your consent form.
• All your medical paperwork including insurance cards, photo ID, and if you have them a copy of your : advance directives, living will, power of attorney.
• A responsible adult to drive you home
• A book/music player/phone are fine to bring if you can give them to your accompanying adult during surgery.
• Do NOT wear jewelry, piercings, or place any makeup, ointments, moisturizers, etc on your skin.

What will happen when I arrive?
• You will first be checked in and review your paperwork
• You will be asked to change into a gown
• An IV will be started
• Your nurse, anesthesiologist, and Dr Petre will all visit you prior to the surgery to review the surgery and answer any questions.
• The pre-operative space is limited and you will be restricted to 1-2 family members while you are getting ready for surgery.

What should I do if something changes between now and surgery?
If you become ill or otherwise can not have surgery, please call us immediately at 410.280.4717
If you have questions prior to surgery, call 4102804717 or email Dr Petre at bpetre@osmc.net For questions relating to anesthesia,
the surgery facility or your stay at the hospital call 443-481-1840 or 443-481-1000

What should I do about my medicines before and after surgery?
Medications are important for your health, but there are some that increase your risks around
surgery and others that it is dangerous to stop. The list below does not cover every possible medicine, just the most common ones.
If you have questions about your medicines, please ask!

Many blood pressure, heart disease and seizure medicines should be taken as prescribed including the morning of surgery. These include:
• beta blockers (metoprolol, Toprol, Lopressor, atenolol,Tenormin, propranolol, Inderal, etc)
• blood pressure medications
• anit-reflux medications (omeprazole, Prilosec, ranitidine, Zantac, rabeprozole, Aciphex, esomeprazole, Nexium, etc)
• Narcotic pain medicines and tylenol

Medicines to stop 2 weeks prior to surgery
• Blood thinners should be discussed on a per patient basis including Plavix, Aspirin, Coumadin, Heparin
• Herbals including: Dong Quai, Gingko Biloba,St. John’s Wort (all types), Echinacea, Ginseng, Valeri-an,
Ephedra, Glucosamine, Vitamin C (more than 2000mg daily), Feverfew, Goldenseal, Vitamin E (more than 400mg daily),
Fish Oils (Omega‐3 Fatty acids), Kava, Garlic, Licorice
• All diet pills
• All nicotine products including cigarettes, cigars, chew, dip and nicotine patches and gum.

Medicines to stop 1 week (7 days) prior to surgery
• Stop ALL over the counter herbal medications/supplements
7 days or more before your surgery.
• Stop all anti-inflammatories or NSAID medicines including ones
taken for pain (Ibuprofen, Naproxen, Aleve, Advil, Celebrex, etc.)

Because skin is not sterile, we need to be sure that your skin is as free of germs as possible before your admission. You can reduce the number of germs on your skin and decrease the risk of a surgical site infection by preparing your skin with a special soap called chlorhexidine gluconate (CHG). We recommend 3 days of treatment but understand this is not always possible.

- Do your normal bathing routine
- At the end of the shower, use the supplied CHG soap on the body area that will be having surgery
-Rinse normally
-Do not use on face or genitalia