Table 2: Key points for the management of patients with Juvenile Idiopathic Arthritis.

Anesthesia Management Anesthesia Strategy to Overcome Challenges
Preoperative management Assess for anatomical abnormalities and systemic disease
Identify the type of procedure being performed
Evaluate the need for modification of current drug regimen
Intraoperative management Local anesthetics: - Lidocaine/Prilocaine (EMLA) cream
- Subcutaneous Lidocaine
- Ethyl chloride spray
Conscious sedation: - Nitrous oxide
- Benzodiazepines
- Ketamine
- Propofol
- Fentanyl
General anesthesia: - same drugs as in conscious sedation but a higher dose
- warrants a secure airway and anesthesia monitoring
Postoperative Management Consider underlying disease/medications to prevent complications
Use a multi-modal approach for pain management