Arthritides

Question 0

What’s the best way to intubate the patient with rheumatoid arthritis

Answer 0

Probably FFOB if c-spine flexion is extreme

Question 1

What is polyarthropathy?

Answer 1

Chronic inflammatory process of multiple joints

Airway involvement:
cervical spine (Decreased flexion, extension, rotation)
TMJ ( Decreased rotation And gliding)
cricoarytenoid joint (Decreased rotation and gliding)
Atlantooccipital joint (decreased flexion, extension)

Question 2

What is ankylosing spondylitis?

Answer 2

A.k.a. Marie-Strumpelle disease

Progressive arthritis of spine and pelvis

begins in childhood and continues throughout life

20% rheumatoid arthritis of extremities

Question 3

What is a major airway concern of ankylosing spondylitis

Answer 3

May Have a fixed cervical spine flexion

Question 4

What is degenerative joint disease (DJD)

Answer 4

Degeneration of articular cartilage

i.e. TMJ or cervical spine