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Related Concept Videos

Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Genome-wide Association Studies-GWAS01:11

Genome-wide Association Studies-GWAS

Genome-wide association studies or GWAS are used to identify whether common SNPs are associated with certain diseases. Suppose specific SNPs are more frequently observed in individuals with a particular disease than those without the disease. In that case, those SNPs are said to be associated with the disease. Chi-square analysis is performed to check the probability of the allele likely to be associated with the disease.
GWAS does not require the identification of the target gene involved in...
Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
General Anesthesia: Overview01:24

General Anesthesia: Overview

Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
Rheumatic Heart Disease III: Medical Management01:21

Rheumatic Heart Disease III: Medical Management

Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...

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Related Experiment Video

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Preliminary Study on Acupuncture Combined with Grain-sized Moxibustion for Treating Rheumatoid Arthritis with Finger Joint Pain
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[Anesthesia and rheumatoid arthritis].

Eneida Maria Vieira1, Stuart Goodman, Pedro Paulo Tanaka

  • 1Anesthesiology of Faculdade de Medicina de São José do Rio Preto. eneidamv@terra.com.br

Revista Brasileira De Anestesiologia
|May 21, 2011
PubMed
Summary

Anesthesia for rheumatoid arthritis (RA) patients requires careful preoperative evaluation and experienced techniques due to complex medical issues. Effective multidisciplinary communication is crucial for optimizing surgical outcomes in RA patients.

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Area of Science:

  • Rheumatoid arthritis (RA) is a chronic inflammatory autoimmune disease.
  • Anesthetic management in patients with rheumatic diseases and osteoarticular disorders.

Context:

  • RA patients exhibit reduced life expectancy and systemic involvement affecting cardiovascular, respiratory, renal, and digestive systems.
  • Osteoarticular disorders in RA can cause mechanical deformations impacting surgical procedures.
  • Juvenile rheumatoid arthritis (JRA) presents unique challenges in pediatric surgical populations.

Purpose:

  • To emphasize the critical role of disease staging in anesthesia management for rheumatoid arthritis patients.
  • To review anesthetic considerations before, during, and after surgery in RA.
  • To highlight intubation techniques in a retrospective analysis of JRA patients undergoing orthopedic prosthesis placement.

Summary:

  • RA poses complex challenges for anesthesiologists, necessitating thorough preoperative assessment.
  • Anesthetic procedures require specialized techniques and experienced personnel.
  • Postoperative care must be tailored to the individual patient's specific needs.

Impact:

  • Improved patient outcomes through judicious anesthetic and postoperative care strategies.
  • Enhanced collaboration among surgical, rheumatological, and anesthesiology teams.
  • Establishes a framework for managing complex anesthetic risks in rheumatoid arthritis patients.