A rational regimen for perioperative steroid supplements and a clinical assessment of the requirement.
Sixty-one patients with rheumatoid arthritis on long-term corticosteroid treatment were managed for 107 orthopaedic procedures using a flexible method of supplementary steroid cover. It was found that the amount actually required was surprisingly small and in 78% of the operations no postoperative supplements were given. There were no consistent factors which would predict a requirement for supplementary steroids in any particular individual.
D000293:Adolescent; D000328:Adult; D000368:Aged; D001172:Arthritis, Rheumatoid / Q000188:drug therapy* / Q000601:surgery; D005260:Female; D006801:Humans; D006854:Hydrocortisone / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care; D011239:Prednisolone / Q000627:therapeutic use*; D011292:Premedication
D011239:Prednisolone; D006854:Hydrocortisone