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Case Reports

Rheumatoid arthritis and Robotic radical surgery: Positioning and Anesthetic Challenges.

Authors:

Uma Hariharan ,

Fellow, Oncoanaesthesia Rajiv Gandhi Cancer Institute and Research Centre, Sector 5, Rohini, Delhi 85,, IN
About Uma

Currently, SPECIALIST, Anaesthesia and Intensive Care, Delhi Government Health Services,

Bhagwan Mahavir Hospital, Pitampura

New Delhi, India

Ex-Specialist

Department of Anaesthesia and Intensive Care

ESI Hospital, Rohini

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Anita Kulkarni,

Rajiv Gandhi Cancer Institute and Research Centre, Rohini, New Delhi, India, IN
About Anita
Senior Consultant, Anaesthesia
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Amit Kumar Mittal,

Rajiv Gandhi Cancer Institute and Research Centre, Rohini, New Delhi, India, IN
About Amit
Consultant Anaesthesia
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Ajay Kumar Bhargava

Rajiv Gandhi Cancer Institute and Research Centre, Rohini, Delhi, IN
About Ajay
Director and Head of Department, Anaesthesia
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Abstract

Robotic surgery is the future of minimally invasive surgery. Anaesthesiologists have to be prepared for the various challenges posed by robotic surgeries in terms of steep trendelenberg position, prolonged pneumoperitoneum and fluid restriction. Rheumatoid arthritis (RA) is a debilitating autoimmune inflammatory arthritis affecting almost every joint of the body. The various deformities due to RA can pose a challenge for proper positioning. It can also cause difficult venous cannulation, difficult airway, impaired respiratory function, multi-system involvement and propensity to cause neurovascular impingement. We present a case of severe rheumatoid arthritis with hypothyroidism posted for elective robotic radical hysterectomy and the anaesthetic challenges.

How to Cite: Hariharan, U. et al., (2015). Rheumatoid arthritis and Robotic radical surgery: Positioning and Anesthetic Challenges.. Sri Lankan Journal of Anaesthesiology. 23(2), pp.69–71. DOI: http://doi.org/10.4038/slja.v23i2.7902
Published on 22 Jul 2015.
Peer Reviewed

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