To minimize perioperative complications after orthopaedic procedures, patients may undergo medical optimization, which includes an assessment of their renal function and gastrointestinal (GI) system. The GI and renal systems are complex, and their proper optimization in the preoperative period can influence the success of any procedure. Several factors can prevent complications and reduce morbidity, mortality, and the cost of care, including a thorough evaluation and screening, with particular emphasis on anemia and its renal and GI causes; management of medications that are metabolized by the liver and excreted by the kidneys; and careful attention to the patient’s nutritional status.
From the Rothman Institute, Thomas Jefferson University, Philadelphia, PA.
This article, as well as other lectures presented at the Academy’s Annual Meeting, will be available in March 2016 in Instructional Course Lectures, Volume 65.
Dr. Parvizi or an immediate family member serves as a paid consultant to CeramTec, ConvaTec, Medtronic, Smith & Nephew, TissueGene, and Zimmer; has stock or stock options held in CD Diagnostics, Hip Innovation Technology, and PRN; has received research or institutional support from 3M, Cempra, CeramTec, DePuy, the National Institutes of Health, the Orthopaedic Research and Education Foundation, Smith & Nephew, StelKast, Stryker, and Zimmer; and serves as a board member, owner, officer, or committee member of the Eastern Orthopaedic Association and the Muller Foundation. Neither Dr. Pyrko nor any immediate family member has received anything of value from or has stock or stock options held in a commercial company or institution related directly or indirectly to the subject of this article.
Received December 31, 2014
Accepted August 06, 2015
