Rheumatoid arthritis (RA)
Patient (condition)
 
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Determine range of motion of patient's neck to guide airway management and intraoperative positioning

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At risk of atlanto-occipital dislocation. Minimise any neck extension whilst managing airway or positioning patient.

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Consider steroid replacement if daily prednisolone >10mg refl.in/cw

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Patients with rheumatoid arthritis may have a dif?cult airway & secondary respiratory & cardiovascular pathology. They are frequently anaemic, taking immunosuppressants & the severe joint pathology leads to problems with positioning.

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Temporomandibular joint (TMJ) may be involved, resulting in poor mouth opening.

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