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Harvard Medical School
Discuss the specific procedures planned during your mediastinoscopy ahead of time with your doctor. This procedure is done by either a surgeon or a trained pulmonary specialist. You will need to sign a consent form giving your surgeon permission to perform this test.
If you are taking insulin, discuss this with your doctor before the test. If you take aspirin, nonsteroidal anti-inflammatory drugs, vitamin E, or other medicines that affect blood clotting, talk with your doctor. It may be necessary to stop or adjust the dose of these medicines before your test. It is likely that you will be able to go home the same day as the surgery, but you will need to arrange for someone else to drive you home. This is because you will have received medicines that can leave you drowsy for some hours after the procedure.
You will be told not to eat anything for at least eight hours before the surgery. An empty stomach helps prevent the nausea that can be a side effect of anesthesia medicines.
Before the surgery (sometimes on the same day), you will meet with an anesthesiologist to go over your medical history (including medicines and allergies) and to discuss the anesthesia.