Your Pre-Operative Checklist.

Conscious sedation explained
01.

Fasting

Reflux and inhalation of stomach contents is possible under any kind of anaesthetic, including conscious sedation. There is ample research showing the benefits of fasting before anaesthesia and Dr Ayling adheres to the standards developed from that research. If there is any doubt as to your fasting status, Dr Ayling will perform a gastric ultrasound examination (just an ultrasound probe placed on the outside of the abdomen) to look at the stomach contents directly. If there is anything other than digestive liquid in the stomach, your procedure may be delayed for some hours or postponed until a later date.

Therefore, before your dental sedation, you must not have eaten any solid food or dairy (including milk in tea or coffee) for six (6) hours prior to the scheduled start time. It is usual not to eat after midnight for morning procedures.

You may drink moderate volumes (150mL per hour) of water up to one (1) hour prior to the scheduled start time. If you are having a morning procedure, then don’t drink after 6am. But do start the day with a glass of water.

Unless told otherwise, please take all medications with a sip of water at the usual time, even if you are fasting.
02.

Blood-thinning medications

Your dentist may wish you to stop certain medications such as blood thinners and will consult with Dr Ayling should a specific regime be required, such as for patients with coronary stents.

If you take any blood thinning medications of any kind, please be sure to inform your dentist at least 10 days before your operation so that optimal preparations may be made to maximise your safety.
03.

Diabetes

Please phone Dr Ayling (0417 323 956) and he will give you instructions on what diabetic medications to take and/or inject to cover the fasting period.

Injectable insulin is tailored to each patient.
04.

Smoking

There is never a better time than “right now” to quit. But if you still smoke, there are advantages even from abstinence for 24-48 hours before any surgical procedure - more so if any kind of sedation or anaesthesia is used. Circulation to peripheries is impaired by nicotine in the blood; carbon monoxide can also impede access by oxygen to binding sites in red blood cells.

As a result, smoking can make wound healing slower and infection more likely; it can also make respiratory complications of sedation more likely. So please abstain from smoking for a minimum of 24-48 hours prior to your procedure.
05.

Post-Operative

Following sedation, you should not drive, operate machinery or make legal agreements for 24 hours.

You should also have someone responsible to take you home and to be with you for 24 hours.

Shaping the sedation experience

Every procedure is different. Every patient is, too. What stays the same is a structured, reliable approach to anaesthesia and perioperative care – and a commitment to guiding the experience as it unfolds.
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