Journal name not available for this finding
Patients with rheumatoid diseases present complex management issues in the perioperative period because of the pathophysiologic consequences of these diseases and other comorbidities. The anesthesia team is being increasingly required to determine the suitability of patients for operative procedures. Extremes of age, surgical complexity, and coexisting illness place surgeons in the position of seeking “medical clearance” from the anesthesia team for an increasing number of patients, emergent and elective. A systematic approach to optimizing these patients would appear rational.