I want to review the things that I look for in the pre-operative workup to help optimize patients in an effort to reduce the chance of a complication.  I will discuss clearances, social habits like tobacco use and alcohol consumption, lab tests and nasal swabs.  It is also important in my opinion to ask about prior anesthesia complications and potential allergies or reactions to materials that may be used during surgery.  You need to think about prior incisions, retained hardware and consider if you need special implants for added constraint based on a patients exam.

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