Perioperative Management of Patients with Rheumatoid Arthritis

Chapter

Abstract

Rheumatoid arthritis (RA) is a common chronic systemic inflammatory condition, affecting roughly 1% of the population worldwide [1, 2]. Advancing age, chronic inflammation, and side effects from antirheumatic medications increase the likelihood of other medical comorbidities and therefore increase perioperative risk among these persons. They require a coordinated, comprehensive perioperative evaluation and management plan to minimize complications. We will discuss general and RA-specific preoperative, operative day, and postoperative medical and anesthetic considerations.

Keywords

Arthritis Corticosteroid Anemia Flare Osteoarthritis 

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Copyright information

© Springer Science+Business Media, LLC 2013

Authors and Affiliations

  1. 1.Internal Medicine, RheumatologyGeisinger Medical CenterDanvilleUSA
  2. 2.Lupus Center of Excellence, Internal MedicineWest Penn/Allegheny Health SystemPittsburghUSA

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