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Patient Instructions: Thoracic Surgery Preparation

Please follow these important instructions before you come to the hospital for surgery.

The evening before surgery

Eating and Drinking: Eat a normal meal the evening before your surgery.

DO NOT eat or drink anything after midnight (this includes gum, mints and water).

If you are having esophageal surgery, follow the dietary guidelines you discussed with the nurse.

Bathing: Take a bath or shower. Use the antibacterial soap you got at your pre-surgery appointment. Wash from your neck down.

Brushing your teeth: After you brush your teeth, gargle with the Listerine we gave you. Use half the bottle and gargle for no more than 30 seconds.

The morning of surgery

Eating and Drinking: DO NOT eat or drink anything (including gum, mints and water).

Bathing: Bathe or take a shower. Use the antibacterial soap you got at your presurgical appointment. Wash from your neck down. Do not use powder, cream, lotion or perfume. You can lightly apply deodorant.

Brushing your teeth: When you brush your teeth, do not swallow any water. After you brush your teeth, gargle with the rest of the Listerine. Do not swallow the mouthwash. Do not gargle for more than 30 seconds.

Medications: Follow the guidelines on the restricted medications list. Take only the medications that you were told to take the morning of surgery. Swallow just enough water to take them comfortably.

Hair: Wear your hair loosely. Do not use clips, pins or bands that bind your hair. Do not use hair spray. If you wear a wig or hairpiece, you will need to remove it before surgery. We will give you a head cover to wear.

Cosmetics/Nails: Do not wear makeup. Remove nail polish. If you have nail tips/wraps/gels, you will need to remove them from at least one finger on each hand (the index or middle finger is best). This lets us monitor your oxygen level during surgery.

What to wear: Dress in comfortable, easy-to-fold clothing. The clothing you wear to the hospital will be returned to the person who comes with you.

What to bring to the hospital

  • Your surgery binder.
  • A one-day supply of your prescription medications*. Do not take these or any other medications or supplements without first talking to your healthcare provider.
  • A book, cards or puzzles to pass time while you wait to go to surgery.
  • Hearing aid, if needed. We will give your hearing aid to a family member before surgery.
  • Glasses and contact lenses: Wear glasses, if possible, and bring a glasses case. If you need to wear contact lenses, please bring a lens case and solution.
  • Dentures: You will need to remove all nonpermanent dental work before your surgery. Please bring a denture cup with you.
  • Personal items: We want your hospital stay to be as comfortable as possible. Closet space is limited. You can pack a bag with your robe, slippers, and anything else you need during your stay. You will not need this bag until you move from the ICU to the step-down unit. Please leave the bag with family until you need it.

* Please bring a one-day supply of medications with you. This is in case your surgery is delayed or scheduled for the next day. If you don’t use the extra medications, please send them home with a family member. You will get all the medications you need while you are in the hospital.

What NOT to bring

  • Jewelry, including watches, wedding rings and any body jewelry.
  • Large amounts of cash, credit cards and all other valuables.
  • We strongly suggest that you do not bring young children with you. They often are not able to stay comfortable while waiting throughout the day.

Cleveland Clinic is not responsible for any lost or stolen items.

What if I use medical marijuana?

Please do not bring medical marijuana to the hospital. Cleveland Clinic does not allow medical marijuana in any US location, and Cleveland Clinic caregivers are not allowed to handle medical marijuana. If you bring medical marijuana with you, Cleveland Clinic police will confiscate and destroy it unless there is another person with you who is registered to legally possess medical marijuana and has their registration card with them.

Phone numbers

Please do not call the Cleveland Clinic Operator or Admitting Office for information about your surgery. We will contact you if there are any changes to your surgery schedule.

Questions about preparing for surgery?

Call the Thoracic and Cardiovascular Surgery Outpatient Center, 216.444.0274 or 800.223.2273, ext. 40274, 8 a.m. to 6 p.m., weekdays.

Questions about your surgery date?

Call the Thoracic Surgery Scheduling Office, 216.445.4585; or 800.223.2273, ext. 54585.

If you develop a medical problem, call your surgeon's office:

Usman Ahmad, MD
216.444.1921

Alejandro Bribriesco, MD
216.445.8140

Sudish Murthy, MD, PhD
216.444.5640

Siva Raja, MD, PhD
216.444.4063

Daniel P. Raymond, MD
216.636.1623

Dean Schraufnagel, MD
216.445.8126

Monisha Sudarshan, MD, MPH
216.445.9579

Have an urgent matter?

Call 911 or the Cleveland Clinic Emergency Department, any time, day or night. 216.444.6749 or 800.223.2273 ext. 46749.

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