Perioperative and anesthetic management of patients with rheumatoid arthritis
- Author:
Hae-Rim KIM
1
;
Seong-Hyop KIM
Author Information
- Publication Type:1
- From:The Korean Journal of Internal Medicine 2022;37(4):732-739
- CountryRepublic of Korea
- Language:English
- Abstract: 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.
