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Reumatologia/Rheumatology
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Sarajevo Declaration on Integrity and Visibility of Scholarly Publications
5/2007
vol. 45
 
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Original paper
Anaesthetic considerations in dialised patients with rheumatic disesases undergoing orthopaedic surgery

Renata Ćwiek
,
Lidia Rutkowska-Sak
,
Barbara Lisowska
,
Paweł Małdyk
,
Cezary Michalak

Reumatologia 2007; 45, 5: 258-263
Online publish date: 2007/10/31
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The article presents anaesthetic considerations in hemodialysed patients in the course of systemic rheumatic diseases undergoing orthopaedic surgeries. Dialysed patients with ASAIII where scheduled for total knee atrhroplasty and reoperation of total hip arthroplasty. Regional anaesthesia was performed in all patients. Follow-up observations presented organ damage due to chronic renal failure, hemodialysis, disease activity and its treatment. The advantages and disadvantages of various therapies were considered. In conclusion it was stated that unilateral spinal block makes a useful anaesthesia technique also in patients with chronic renal failure in the course of total joint replacement procedure.
keywords:

rheumatic diseases, chronic renal failure, hemodialysis, anaestetic considerations
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