PERIOPERATIVE MANAGEMENT OF PATIENTS WITH RHEUMATOID ARTHRITIS

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ID: 104430
2014
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Abstract
The paper considers the joint management of rheumatoid arthritis patients needing endoprosthetic replacement of the large joints of the lower extremities by rheumatologists and orthopedic traumatologists.Due to the fact that there are no conventional standards or guidelines for the perioperative management of patients with rheumatic diseases, adopted by international rheumatology associations, the authors generalize their experience in managing the patients in terms of international approaches and guidelines from different countries. The medical assessment and reduction of cardiovascular risks, the prevention of infectious complications, hemorrhages, and lower extremity deep vein thrombosis, and the specific features of management of patients with osteoporosis are under consideration. The authors' experience in managing the patients receiving antirheumatic therapy with nonsteroidal antiinflammatory and disease-modifying antirheumatic drugs, such as methotrexate, leflunomide, sulfasalazine, and hydroxychloroquine, is detailed. Recommendations for managing patients taking glucocorticoids and biologic agents (tumor necrosis factor-α inhibitors, anti-B-cell therapy, and interleukin-6 receptor inhibitors) in the preoperative andpostoperative periods are given.
Reference Key
amirdzhanova2014perioperativenaucnoprakticeska Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Amirdzhanova, V. N.;Makarov, M. A.;Byalik, E. I.;Makarov, S. A.;Lipina, M. M.;
Journal naučno-praktičeskaâ revmatologiâ
Year 2014
DOI
DOI not found
URL
https://rsp.ima-press.net/rsp/article/view/1956
Keywords
Medicine (General) Medicine Pediatrics Immunologic diseases. Allergy general works internal medicine diseases of the musculoskeletal system

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