Follow the instructions from your child's doctor for the night before surgery. The directions should tell you when your child has to stop eating or drinking, and any other special instructions. Use the information below as a reminder.

Surgery - child; Preoperative - night before

Stop giving your child solid food after 11 p.m. the night before surgery. Your child should not eat or drink any of the following:

• Solid food
• Juice with pulp
• Milk
• Cereal
• Candy or chewing gum

Give your child clear liquids up until 2 hours before the scheduled time at the hospital. Here is a list of clear liquids:

• Apple juice
• Gatorade
• Pedialyte
• Water
• Jell-O without fruit
• Popsicles without fruit
• Clear broth

If you are breastfeeding, you can breastfeed your baby until 4 hours before the scheduled time to come to the hospital.

If your baby is drinking formula, stop giving your baby formula 6 hours before the scheduled time to come to the hospital. Do not put cereal in the formula after 11 p.m.

Give your child medicines that you and the doctor agreed you should give. Check with the doctor to see if you should give the usual doses. If you are confused about which medicines to give your child the night before or the day of surgery, call the doctor.

Stop giving your child any medicines that make it harder for your child's blood to clot. Stop giving them about 3 days before surgery. These include aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), and other medicines.

Do not give your child any supplements, herbs, vitamins, or minerals before surgery unless your doctor said it is OK.

Bring a list of all of your child's medicines to the hospital. Include the ones that you were told to stop giving before surgery. Write down the dosage and how often you give them.

Give your child a bath the night before surgery. You want them to be clean. Your child may not have a bath again for days. Your child should not wear nail polish, have fake nails, or wear jewelry during surgery.

Have your child dress in loose-fitting, comfortable clothes.

Pack a special toy, stuffed animal, or blanket. Label items with your child's name.

If your child does not feel well in the days before or on the day of surgery, call the surgeon's office. Let your surgeon know if your child has:

• Any skin rashes or skin infections
• Cold or flu symptoms
• Cough
• Fever

Kesser BW. Surgery of ventilation and mucosal disease. In: Brackmann DE, Shelton C, Arriaga MA, eds. Otologic Surgery. 5th ed. Philadelphia, PA: Elsevier; 2023:chap 5.

Zaydfudim VM, Hu Y, Adams RB. Principles of preoperative and operative surgery. In: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 21st ed. St Louis, MO: Elsevier; 2022:chap 10.