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ISSN 1817-5996 (Electronic)

2016, Number 3

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Rev Cub de Reu 2016; 18 (3)

Guidelines on stress dose management to reduce perioperative risk in steroid-dependent rheumatoid arthritis patients

Espinel NNN, Vasconez RAR, Ramos VAJ

Language: Spanish
References: 20
Page: 268-274
PDF size: 119.32 Kb.


ABSTRACT

Introduction: recent developments in the field of rheumatology has stimulated the need to deepen the study of perioperative corticosteroid use in rheumatoid arthritis; revitalizing the interest in understanding the implications of chronic steroid use, as a determinant of surgical results.
Objective: to outline guidelines for stress dose management for reducing perioperative risk in steroid-dependent rheumatoid arthritis patients.
Development: a systematic search of Elsevier, PubMed and Google Scholar was performed using the terms: perioperative risks, steroid-dependent rheumatoid arthritis and stress dose. The search has been limited to articles written in Spanish and English language between the years 2010 and 2015. Five additional studies were added at author’s discretion. As an exclusion criteria editorial works and case reports were not selected.
Conclusions: corticosteroid use is an important risk factor in patients with rheumatoid arthritis. This risk is dose related; hence the usefulness of balancing risks and doses in the perioperative management of patients. Therefore it is essential to rheumatologists, surgeons, anesthesiologists and intensivists to attempt standardization, consensus and decreased variability in clinical practice, by developing an adequate level of knowledge about guidelines in managing stress dose of steroids to reduce the interference of these drugs in healing, resistance to infection and functioning of the hypothalamic-pituitary axis, among others.


REFERENCES

  1. Ortiz García A. Manejo de situaciones clínicas difíciles en pacientes con artritis reumatoide. Cirugía. Reumatol Clin. [Internet]. 2009[citado 22 junio 2016];5 Supl 1 (5):61-5. Disponible en: http://www.reumatologiaclinica.org/es/manejo-situaciones-clinicas-dificiles-pacientes/articulo/S1699258X0900028X/

  2. Ismael H, Horst M, Farooq M, Jordon J, Patton JH, Rubinfeld IS. Efectos adversos del uso preoperatorio de esteroides sobre los resultados quirúrgicos. Am J Surg. 2011;201(3):305-9.

  3. Wang AS, Armstrong EJ, Armstrong AW. Efectos de los corticoides sobre la cicatrización de las heridas de acuerdo al tipo, dosis, cronicidad y momento de la administración en relación con la cirugía. Am J Surg. 2013;206(3):410-17.

  4. Sokka T, Toloza S, Cutolo M, Kautiainen H et al. Women, men, and rheumatoid arthritis: analyses of disease activity, disease characteristics, and treatments in the QUEST-RA study. Arthritis Res Ther. 2009;11:R7.

  5. Rodríguez R, Martínez E, Santana M, Rodríguez F. Estudio de la respuesta al estrés en dos técnicas analgésicas (remifentanilo continuo frente a fentanilo en bolos) valorando diferentes marcadores (citocinas, proteína C reactiva y cortisol) en el intra y postoperatorio de histerectomías abdominales. Rev. Esp. Anestesiol. Reanim. 2007;54:221-6.

  6. Graziola E, Elena G, Gobbo M, Méndez F, Colucci, Puig N. Estudio sobre la respuesta al estrés, hemodinámica e inmunológica de dos técnicas anestésicas (inhalatoria e intravenosa) en colecistectomías videolaparoscópicas. Rev Esp Anestesiol Reanim. 2005;52(4):208-16.

  7. Hurtado Hurtado JS. Efectos adversos de terapia inmunosupresora en paciente reumatológico: infección por micobacterias no tuberculosas Reumatol Clin. [Internet]. 2016[citado 22 junio 2016];12(2):118-9. Disponible en: http://www.reumatologiaclinica.org/es/efectos-adversos-terapia-inmunosupresora-paciente/articulo/S1699258X15000741/

  8. González Naranjo LA, Ramírez Gómez LA. Manejo perioperatorio de la terapia antirreumática. Iatreia [Internet]. 2011 [citado 22 junio 2016]; 24 (3):308-19. Disponible en: http://www.scielo.org.co/pdf/iat/v24n3/v24n3a09

  9. Van der Goes MC, Jacobs JW, Bijlsma JW. The value of glucocorticoid co-therapy in different rheumatic diseases - positive and adverse effects. Arthritis Research & Therapy [Internet]. 2014[citado 22 junio 2016];16:S2. Disponible en: http://doi:10.1186/ar4686.

  10. Krause ML, Matteson EL. Perioperative management of the patient with rheumatoid arthritis. World Journal of Orthopaedics[Internet]. 2014[citado 22 junio 2016]; 5(3):283-91. Disponible en: http://doi: 10.5312/wjo.v5.i3.283.

  11. Botargues M, Enz P, Musso C. Tratamiento con corticoides. Evid Act Pract Ambul. 2011;14(1):33-6.

  12. Hernández JA, Jorge R. Trastornos de la glándula hipofisaria. La Habana: Ed. Ciencias Médicas; 2010. p. 54-6.

  13. Aliste MS. Estudio preoperatorio del paciente reumático. Medwave [Internet]. 2004 [citado 22 junio 2016];4(10):3223. Disponible en: http://www.medwave.cl/link.cgi/Medwave/PuestaDia/Cursos/3223

  14. Wakim JH, Sledge KC. Anesthetic implications for patients receiving exogenous corticosteroids. AANA Journal[Internet]. 2006 [citado 22 junio 2016];74(2). Disponible en: https://www.aana.com/newsandjournal/Documents/p133-139.pdf

  15. Doran MF, Crowson CS, Pond GR, O’Fallon WM, Gabriel SE. Predictors of infection in rheumatoid arthritis. Arthritis Rheum. 2002;46:2294–300.

  16. Smitten AL, Choi HK, Hochberg MC, Suissa S et al. The risk of hospitalized infection in patients with rheumatoid arthritis. J Rheumatol. 2008;35:387-93.

  17. Carla R. Scanzello, Mark P. Figgie, Bryan J. Nestor, Susan M. Goodman Perioperative Management of Medications Used in the Treatment of Rheumatoid Arthritis. HSS J. [Internet]. 2006 [citado 22 junio 2016];2(2):141-7. Disponible en: http://doi: 10.1007/s11420-006-9012-5

  18. Gillick JL, Wainwright J, Das K. Rheumatoid Arthritis and the Cervical Spine: A Review on the Role of Surgery. International Journal of Rheumatology [Internet]. 2015[citado 22 junio 2016]:252456. doi:10.1155/2015/252456.

  19. Jacobs JWG, Bijlsma JWJ, van Laar JM. Glucocorticoids in early rheumatoid arthritis: are the benefits of joint-sparing effects offset by the adverse effect of osteoporosis? The effects on bone in the Utrecht study and the camera-II study. Neuro Immuno Modulation[Internet]. 2014[citado 22 junio 2016];22:66-71. Disponible en: http:// doi: 10.1159/000362729

  20. Suárez Martín R, Reyes Pineda Y, López Mantecón AM, Hernández Muñiz Y, Martínez Larrarte JP. Artrocentesis e inyecciones intra y periarticulares con corticoesteroides. Revista Cubana de Reumatología [Internet]. 2016 [citado 22 junio 2016];18(1). Disponible en: http://www.revreumatologia.sld.cu/index.php/reumatologia/article/view/440




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