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Anaesthesia and rheumatoid arthritis
Author(s) -
SKUES M. A.,
WELCHEW E. A.
Publication year - 1993
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1993.tb07482.x
Subject(s) - medicine , rheumatoid arthritis , pharmacodynamics , intensive care medicine , airway , airway management , anesthesia , arthritis , pharmacokinetics , pharmacology
Summary A review of the implications of rheumatoid arthritis on peri‐operative anaesthetic management is presented. Pre‐operative assessment should include a careful search for articular and systemic manifestations of the disease that may complicate intra‐operative care. Drug disposition may vary from the normal patient as a result of changes in serum protein binding, together with possible exaggeration of pharmacodynamic responses. Airway management presents one of the greatest challenges to the anaesthetist, and care in manipulation of the cervical spine is paramount.