ABSTRACT
Preop Preoperative vaccination for encapsulated organisms should be performed pref
erably several weeks prior to the procedure. An epidural catheter for postoperative pain control should be placed preoperatively unless contraindicated. Deep venous thrombosis prophylaxis with sequential compression devices and/or subcutaneous heparin (depending on patient risk factors) should be instituted prior to the initia tion of general anesthesia. A prophylactic perioperative antibiotic is administered intravenously 30 minutes prior to incision.