Abstract
Patients with rheumatoid arthritis (RA) should receive the same preoperative cardiovascular, pulmonary, and other risk assessment as other patients. In addition, it is also important to specifically note how well patients’ underlying rheumatologic disease is controlled, any comorbidities that may be related to their RA, and what rheumatologic medications they take. Certain RA patients may be at increased risk for perioperative complications because of systemic complications of their underlying disease, medication effects, cervical spine instability, and specific joint issues. Coordinated care with the patient’s rheumatologist is recommended.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Gardner G, Mandel B. Assessing and managing rheumatologic disorders. In: Jaffer A, Grant P, editors. Perioperative medicine: medical consultation and co-management. 1st ed. New Jersey: Wiley-Blackwell; 2012. p. 215–29.
Meune C, Touze E, Trinquart L, Alanore Y. Trends in cardiovascular mortality in patients with rheumatoid arthritis over 50 years: a systemic review and meta-analysis of cohort studies. Rheumatology (Oxford). 2009;48:1309.
Aviña-Zubieta JA, Choi HK, Sadatsafavi M, et al. Risk of cardiovascular mortality in patients with rheumatoid arthritis: a meta-analysis of observational studies. Arthritis Rheum. 2008;59:1690.
Shur P, Weyand C. Coronary artery disease in rheumatoid arthritis: Epidemiology, pathogenesis, and risk factors. In: UpToDate. Waltham, MA: Wolters Kluwer; 2012. http://www.uptodateonline.com. Last updated Oct 2012. Accessed Jan 2014.
Bissar L, Almoallim H, Alotaibi M, Alwafi S. Perioperative management of patients with rheumatic diseases. Open Rheumatol J. 2013;7:42–50.
Bandi V, Munnur U, Braman SS. Airway problems in patients with rheumatologic disorders. Crit Care Clin. 2002;18(4):749–65.
Kwek TK, Lew TW, Thoo FL. The role of perioperative cervical spine x-rays in rheumatoid arthritis. Anaesth Intensive Care. 1998;26:636.
Grennan DM, Gray J, Loudon J, et al. Methotrexate and early postoperative complications in patients with rheumatoid arthritis undergoing elective orthopaedic surgery. Ann Rheum Dis. 2001;60(3):214–7.
Tanaka N, Sakahashi H, Sato E, et al. Examination of the risk of continuous leflunomide treatment on the incidence of infectious complications after joint arthroplasty in patients with rheumatoid arthritis. J Clin Rheumatol. 2003;9:115–8.
Pieringer H, Stuby U, Biesenbach G. Patients with rheumatoid arthritis undergoing surgery: how should we deal with antirheumatic treatment? Semin Arthritis Rheum. 2007; 36(5):278–86.
Bibbo C, Goldberg JW. Infectious and healing complications after elective orthopaedic foot and ankle surgery during tumor necrosis factor-alpha inhibition therapy. Foot Ankle Int. 2004;25:331–5.
Giles JT, Bartlett SJ, Gelber AC, et al. Tumor necrosis factor inhibitor therapy and risk of serious postoperative orthopedic infection in rheumatoid arthritis. Arthritis Rheum. 2006;55:333–7.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Kaplan, E. (2015). Rheumatoid Arthritis. In: Jackson, M.B., Mookherjee, S., Hamlin, N.P. (eds) The Perioperative Medicine Consult Handbook. Springer, Cham. https://doi.org/10.1007/978-3-319-09366-6_35
Download citation
DOI: https://doi.org/10.1007/978-3-319-09366-6_35
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-09365-9
Online ISBN: 978-3-319-09366-6
eBook Packages: MedicineMedicine (R0)