Days Before Surgery: Important Instructions
On this page you'll find practical tips including a packing list and important instructions to promote a positive and smooth surgery experience. Find out who to call if your child is sick, and when they need to stop eating and drinking before anesthesia/sedation.

How's your child's health?
It is important your child is well before surgery. A fever, cold, cough, runny nose or sore throat can make it harder for them to breathe during or after the procedure as well as making recovery longer.
Does your child have any of the health issues listed below?
- Recent asthma flare
- Fever, cold, cough, runny nose or sore throat
- Recent viral infection including COVID-19, flu, pneumonia, or RSV
- Exposure to TB, chicken-pox
If your child is sick in the 2 weeks leading up to surgery please contact 416-813-7654 Ext. 227502 and leave a message. A nurse will return your call.

Stop eating and drinking before anesthesia or sedation
Follow these fasting instructions. Your child's surgery may be cancelled if they have eaten or haven’t followed the fasting requirements for liquids.
Any food or liquid in your child's stomach while going to sleep under anaesthesia can flow up to the mouth and pass down into the lungs. This is very dangerous for them.

Bathing at home before a procedure
You play an important role in reducing your child’s risk of infection by bathing or showering before a procedure. Bathing or showering with soap lowers the change of a surgical site infection.
At home, bathe or shower your child two times before the procedure with soap and water at these times:
- 48 hours (2 days) before procedure
- 24 hours (1 day) before procedure

Prevent medication mistakes
Some medications cannot be taken with other medications or anesthetic. To make sure your child safely takes the right medications while at SickKids, doctors and nurses must understand all the medications your child takes at home. Please bring the following items with you:
- Prescription medications
- Over-the-counter medications
- Cough/cold/allergy medications
- Puffers
- Herbal products, vitamins/supplements
- Eye/ear drops
- Creams
- Recently stopped medicines
Make it simple
We understand carrying medications may be difficult. Another option is to take photos of labels on each bottle or container of medication, ointment, vitamins, drops, etc. Ensure the dosage amount can be seen in the photo. You can take front and back photos if required.
Your surgery journey at SickKids
There are four pages to review before coming for surgery at SickKids, broken down by the different stages of the journey.

2. Days Before Surgery: Important Instructions
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