Johns Hopkins orthopaedic surgeon Savyasachi “Savya” Thakkar, M.D., discusses patient selection and preoperative optimization for outpatient total joint arthroplasty. Topics include contraindications, medical comorbidities, optimization metrics, anesthesia protocols and common reasons for unexpected overnight admission. He also shares perioperative strategies aimed at reducing complications and guidance for physicians transitioning to outpatient joint replacement. #jointreplacementsurgery #johnshopkinsmedicine #outpatient https://www.hopkinsmedicine.org/clinical-connection/orthopaedics 00:00 Intro 00:18 What are your absolute contraindications for total joint arthroplasty? 01:02 What medical comorbidities make you reconsider same-day discharge? 01:29 What preoperative optimization metrics do you require before scheduling joint replacement surgery? 02:09 How has your anesthesia protocol changed for joint replacement cases? 02:54 What are the most common cause of unexpected overnight admissions? 03:28 What perioperative strategy has most reduced complications in your outpatient patients? 04:01 What guidance would you offer physicians transitioning to outpatient joint replacement?