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KMID : 0338420220370040732
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The Korean Journal of Internal Medicine
2022 Volume.37 No. 4 p.732 ~ p.739
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Perioperative and anesthetic management of patients with rheumatoid arthritis
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Kim Hae-Rim
Kim Seong-Hyop
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Abstract
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Our understanding and management of rheumatoid arthritis (RA) have greatly improved, but perioperative and anesthetic management remain challenging. RA is not limited to joints; systemic evaluation is thus required when planning perioperative management. Especially, careful airway evaluation is needed; management of airway-related arthritis is challenging. A multidisciplinary approach is essential to prevent complications without exacerbating RA disease activity. Guidelines published in 2017 are available for perioperative management of anti-rheumatic medication in patients with rheumatic diseases undergoing elective total hip or total knee arthroplasty. However, the guidelines focus only on anti-rheumatic medications, and do not consider all aspects of perioperative management (including anesthesia). Here, we discuss the perioperative and anesthetic management of patients with RA.
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KEYWORD
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Arthritis, rheumatoid, Anesthesia, Operation, Surgery
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