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SP0178 Surgery in the patient with rheumatoid arthritis
  1. J Lloyd
  1. Health Studies, Brunel University, Isleworth Middx., UK


The person with Rheumatoid Arthritis has a higher than average chance of undergoing surgery at some stage in the disease process. Surgery is not without risks and a benefit/risk assessment is essential in all patients for selection.

This presentation will address care of the patient with RA before and after surgery from a multi-disciplinary view point. General considerations prior to surgery will be mentioned. Potential problems specific to the person with RA include care of the cervical spine during intubation, infection both due to low haemoglobin and drug therapy, care of the skin and other joints whilst recumbent and management of drug therapy. These will be analysed along with possible management protocols and strategies.

Pre and post surgical intervention physiotherapy is a luxury for some patients, for those with RA it is an essential component of the continued care of this group.

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