Advice to be read before having a Pain Service procedure at Ely Day Surgery
The following information has been produced to ensure that you are able to have your procedure. It is essential that you read and follow the advice given below before you come to the hospital.
If you do not follow the advice you may not be able to have your treatment.
Please contact the Pain Clinic if any of the following apply to you:
- You are diabetic and take medication to control your diabetes.
- You have recently had an admission to hospital.
- You have tested positive for MRSA.
- You have an infection and are currently taking antibiotics.
- You have a temperature which is more than 37.4
- You think you may be pregnant.
- If you are currently taking one of these following medications or any other medicine which affects your blood’s ability to clot (often called a ‘blood thinner’).
Acenocoumarol (may be branded Sinthrome®), apixaban (Eliquis®), aspirin, clopidogrel (Plavix®), dabigatran (Pradaxa®), dipyridamole (Persantin®), Rivaroxaban (Xarelto®), warfarin (Marevan®).
Please notify the Pain Clinic at least 10 days before your appointment if you are taking one of the above medications.
Fasting before your treatment:
Please do not eat or drink any non clear fluids (those containing milk) for six hours before your appointment.
Stop water or other clear fluids (eg clear tea, black coffee) two hours before your appointment time.
If you have any regular tablets to take during the two hour no fluid period you may take these with up to 30ml of water only.
On the day of treatment
It is essential that you arrange for an adult friend or relative to collect you by car or taxi after the procedure. You must be accompanied by someone; failure to comply will result in your procedure being cancelled.
Please leave any valuables at home.
On arrival at Ely Day Surgery you will see the doctor to discuss and sign the consent form. However, your appointment time will not be the time of your procedure; a wait may be involved (between 30 minutes and four hours before your treatment) so please bring a book / magazine or something to keep yourself occupied. Nearer the time of your procedure you will be asked to change into a hospital gown. You may keep your underwear on. If you wish you may bring a pair of shorts (with an elasticated waist) to wear underneath the hospital gown. You may also find it useful to bring a pair of slippers or flip flops to wear.
Diabetic patients
Tablet and insulin treated diabetes
The day before surgery continue antidiabetic medication / insulin as normal.
You may have been asked to be Nil By Mouth or ‘NBM’. Please be aware of the risk of hypoglycaemia (low blood sugars) whilst fasting. Please bring a hypoglycaemic treatment with you on the day of your treatment.
| On day of surgery: Antidiabetic drugs | Day of surgery | |
|---|---|---|
| On day of surgery: Antidiabetic drugs | Day of surgery Morning surgery | Afternoon surgery |
| On day of surgery: Antidiabetic drugs Acarbose | Day of surgery Omit morning dose if NBM |
Give morning dose if eating and omit evening dose if NBM |
|
On day of surgery: Antidiabetic drugs
Metiglinides: e.g. repaglinide, nateglinide |
Day of surgery Omit morning dose if NBM |
Give morning dose if eating and omit evening dose if NBM |
| On day of surgery: Antidiabetic drugs Metformin | Day of surgery Omit morning dose |
Omit any morning and lunchtime dose(s) |
|
On day of surgery: Antidiabetic drugs
Sulphonylureas eg gliclazide, glipizide |
Day of surgery
Once daily - omit morning dose Twice daily - omit morning dose only |
Once daily - omit morning dose. Twice daily - omit morning and evening doses. |
| On day of surgery: Antidiabetic drugs Pioglitazone | Day of surgery Omit if NBM | Omit if NBM |
|
On day of surgery: Antidiabetic drugs
DPP-4 inhibitor eg alogliptin, sitagliptin, saxagliptin, vildagliptin |
Day of surgery
Omit. Restart the following day. |
Omit. Restart the following day. |
|
On day of surgery: Antidiabetic drugs
GLP-1 analogue injection eg exenatide, liraglutide |
Day of surgery
Omit. Restart the following day. |
Omit. Restart the following day. |
Diabetic patients
|
Note: Complete insulin omission for individuals with type 1 diabetes may result in DKA which could be life threatening Insulin regimen |
Day of surgery | |
|---|---|---|
|
Note: Complete insulin omission for individuals with type 1 diabetes may result in DKA which could be life threatening Insulin regimen |
Day of surgery Morning surgery | Afternoon surgery |
|
Note: Complete insulin omission for individuals with type 1 diabetes may result in DKA which could be life threatening Insulin regimen One injection per day (intermediate/ long acting insulin) |
Day of surgery No dose change | No dose change |
|
Note: Complete insulin omission for individuals with type 1 diabetes may result in DKA which could be life threatening Insulin regimen Two injections per day (intermediate/ long acting insulin) |
Day of surgery
Half usual morning dose, evening dose unchanged if eating carbohydrate |
Half usual morning dose, PM dose unchanged if after surgery and eating carbohydrate |
|
Note: Complete insulin omission for individuals with type 1 diabetes may result in DKA which could be life threatening Insulin regimen Three, four or five injections daily |
Day of surgery
Basal bolus regimens Omit morning and lunchtime short acting insulins: keep background (intermediate/ long acting) insulin unchanged Premixed morning insulin - See ‘Two injections per day’, omit lunchtime dose |
Take usual morning doses, omit lunchtime dose(s) |
If you have any questions regarding your diabetic regime please contact your GP for advice.
We are smoke-free
Smoking is not allowed anywhere on the hospital campus. For advice and support in quitting, contact your GP or the free NHS stop smoking helpline on 0800 169 0 169.
Other formats
Help accessing this information in other formats is available. To find out more about the services we provide, please visit our patient information help page (see link below) or telephone 01223 256998. www.cuh.nhs.uk/contact-us/accessible-information/
Contact us
Cambridge University Hospitals
NHS Foundation Trust
Hills Road, Cambridge
CB2 0QQ
Telephone +44 (0)1223 245151
https://www.cuh.nhs.uk/contact-us/contact-enquiries/