Published online Jul 18, 2014. doi: 10.5312/wjo.v5.i3.283
Revised: March 20, 2014
Accepted: May 8, 2014
Published online: July 18, 2014
Core tip: Patients with rheumatoid arthritis (RA) require specialized care in the perioperative setting. Special attention must be given to management of immunomodulatory therapies, temporarily suspending their administration in the perioperative period. Patients on corticosteroids may require stress doses. Anesthesiologists should be aware of the possibility of cervical spine disease and appropriate measures, including obtaining cervical spine radiographs preoperatively. Patient with RA are at heightened infection risk because of their disease and its treatment, requiring particular vigilance in the postoperative period.