The Pain Treatment Center of the Bluegrass offers patient information and instructions regarding your scheduled procedure and the care you will receive at our surgery center. Please be sure to review the contents of this page and contact our team members if you have any questions. Call us at (859) 278-1316 (extension 246 or 252) for assistance. We are always happy to help.
If you are scheduled for a procedure, please follow the instructions and information listed here.
Prior to arrival:
- Because you may receive sedation during the procedure, it will be necessary for a responsible adult of your choice to accompany you when you leave the Center. You may not drive yourself home.
- Be sure to leave in time to arrive at the Center 30 minutes before your procedure.
What to wear:
- Do not wear jewelry or bring valuables with you.
- Wear comfortable clothing.
- Choose flat shoes.
Food and medication instructions:
- Unless otherwise instructed, please eat a light breakfast (cereal, toast, fruit). Do not eat bacon, eggs, or hamburgers. You may drink clear liquids (water, tea, coffee, apple, or cranberry juice) up until two to three hours before your procedure. Do not drink milk.
- Take all your high blood pressure and heart medications with a sip of water as scheduled.
- Diabetic patients
- Take your regular oral antidiabetic pills the morning of your procedure, except Glucophage, which must be stopped the night before your procedure. Eat a light breakfast. Bring a snack with you.
- Take half your normal insulin dose the morning of your procedure. Eat a light breakfast before coming to the Center. Bring a snack and your insulin with you.
- Patients on blood thinners
- Patients who are taking Coumadin are at special risk for severe bleeding during their procedures. Normally, your doctor will stop your Coumadin three days prior to any procedure. However, you must always talk with your doctor about stopping the drug, and never stop your Coumadin without talking with your doctor first. Please tell your doctor if you are taking Coumadin.
- Patients taking anti-inflammatory medications
- Taking anti-inflammatory medicines may cause increased bleeding during some procedures. Aspirin is the worst offender. Unless you have a medical condition that requires you to take aspirin daily, you must stop taking aspirin seven days before your procedure. Please ask your doctor about your aspirin.
- All your other anti-inflammatory medications must be stopped three days before your procedure.
You will not receive general anesthesia (be put to sleep) for any procedure at the Center. It is important for you to remain awake with the ability to talk with us during the procedures. This allows us to perform the procedures with maximum safety and with less risk to you. For most of our procedures, we do provide some level of conscious sedation in which you may receive an appropriate level of sedation with intravenous medications at the discretion of your doctor. There is some risk to receiving conscious sedation. The risk goes up as the amount of sedation is increased. Side effects/complications from sedation are usually minimal but may include:
- Impaired judgment – If you drive a vehicle within 24 hours of conscious sedation, you will be driving under the influence.
- Impaired memory – Even though you are awake and talking, you may not remember what you are told. Do not make any business decisions within 24 hours of receiving conscious sedation.
- Rarely, the medication may decrease your breathing and could cause your breathing to stop.
- Some sedative medications may depress your heart rate and could cause your heart to stop beating.
- Some combinations of sedative medications can cause seizures if given in higher doses.
- Deeper levels of sedation may cause you to lose your gag reflex, which could result in aspiration pneumonia.
- Allergic reactions to any medications may cause your heart and breathing to stop or cause death.