Individualized perioperative management is necessary for patients with rheumatoid arthritis undergoing large joint arthroplasty to prevent thromboembolic, cardiovascular, and infectious complications.
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Supports individualized perioperative approaches in RA arthroplasty; leaves open optimal protocols pending prospective validation.
The article presents literature data analysis on the incidence, diagnosis and prevention of thromboembolic, cardiovascular, infectious complications of large joint arthroplasty in patients with rheumatoid arthritis in postoperative period. The results of studies focusing on the peculiarities of preoperative examination and anesthetic management in this category of patients are presented. The necessity of an individual approach is shown, taking into account the surgical intervention type, the presence of comorbidity, the infectious and thromboembolic complications risk degree, as well as concomitant pharmacological therapy.
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Volchenko et al. (2021) studied this question.
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