Rheumatologic illnesses encompass a wide variety of conditions that because of systemic inflammation may affect many different organ systems. Chronic inflammation associated with most rheumatologic conditions increases the risk for cardiovascular events, but patients may be asymptomatic. Furthermore, several diseases increase risk for chronic lung diseases, e.g., pulmonary fibrosis and/or pulmonary hypertension. There is a risk of perioperative flares of the underlying disease, especially with crystal-induced conditions such as gout and pseudogout. Anesthesia may be complicated not only by the presence of underlying cardiopulmonary disease but also by cervical spine involvement, particularly in rheumatoid arthritis and ankylosing spondylitis and airway involvement. Use of immunosuppressive medications may increase the risk of perioperative infections, but without them the primary condition could flare which could also result in postoperative complications. Oftentimes, the management of patients with rheumatic diseases requires a multidisciplinary approach.
|Original language||English (US)|
|Title of host publication||Perioperative Assessment of the Maxillofacial Surgery Patient|
|Subtitle of host publication||Problem-based Patient Management|
|Publisher||Springer International Publishing|
|Number of pages||13|
|State||Published - Jan 1 2018|
ASJC Scopus subject areas