Biological treatment and the risk of perioperative complications

Česká verzia

Authors: O. Gimunová ¹; O. Bednařík ²; Š. Forejtová ³
Authors place of work: Klinika anesteziologie, resuscitace a intenzivní medicíny, FN Brno, LF MU ¹; Interní hematologická a onkologická klinika, FN Brno, LF MU ²; Revmatologický ústav, Praha ³
Published in the journal: Anest. intenziv. Med., 26, 2015, č. 3, s. 152-155
Category: Anaesthesiology - Review Article

Summary

So far, there is no consensus whether to stop biological treatment prior to elective surgery. The results of retrospective studies are very heterogeneous, because the retrospective study design and the relatively small numbers of individuals studied considerably limit the interpretation of the data. The risk of infection is greatest at the beginning of the administration of biological treatment. Current recommendations are in favour of interrupting biological treatment in the perioperative period. We present a recommendation on the management of biological treatment before surgery.

Keywords:
biological treatment – perioperative period – infection

Zdroje

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2. Goh, L., Jewell, T., Laversuch, C., Samanta, A. Should anti-TNF therapy be discontinued in rheumatoid arthritis patients undergoing elective orthopaedic surgery? A systematic review of the evidence. Rheumatol. Int., 2012, 32, p. 5–13.

3. Listing, J., Gerhold, K., Zink, A. The risk of infections associated with rheumatoid arthritis, with its comorbidity and treatment. Rheumatology, 2013, 52, p. 53–61.

Štítky

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Článok vyšiel v časopise

Anaesthesiology and Intensive Care Medicine

2015 Číslo 3

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