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In this respect, we describe a 60-year-old female patient who presented with a diagnosis of RA with pulmonary fibrosis, and was scheduled for orthopaedic surgery for subcapital fracture of femur which was successfully managed using intrathecal bupivacaine and midazolam.<\/jats:p>","DOI":"10.1136\/bcr-2012-006294","type":"journal-article","created":{"date-parts":[[2012,10,3]],"date-time":"2012-10-03T07:48:55Z","timestamp":1349250535000},"page":"bcr2012006294","source":"Crossref","is-referenced-by-count":1,"title":["Subarachnoid block in a case of rheumatoid arthritis with severe pulmonary fibrosis"],"prefix":"10.1136","volume":"2012","author":[{"given":"Mohd Salahuddin","family":"Ansari","sequence":"first","affiliation":[{"name":"1Department of Anatomy, JN Medical College, Aligarh, Uttar Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Syed Kamran","family":"Habib","sequence":"additional","affiliation":[{"name":"1Department of Anatomy, JN Medical College, Aligarh, Uttar Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Obaid","family":"Ahmad Siddiqui","sequence":"additional","affiliation":[{"name":"2Department of Anesthesiology and Critical Care, JN Medical College, Aligarh, Uttar Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zaid","family":"Ahmad","sequence":"additional","affiliation":[{"name":"2Department of Anesthesiology and Critical Care, JN Medical College, Aligarh, Uttar Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2012,10,3]]},"reference":[{"key":"2025082707195654000_2012.sep26_1.bcr2012006294.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-0704(02)00019-2"},{"key":"2025082707195654000_2012.sep26_1.bcr2012006294.2","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-008-0839-7"},{"issue":"(Suppl 4}","key":"2025082707195654000_2012.sep26_1.bcr2012006294.3","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1093\/rheumatology\/kel313","article-title":"The heart and cardiovascular manifestations in rheumatoid arthritis","volume":"45","author":"Voskuyl","year":"2006","journal-title":"Rheumatology (Oxford)"},{"key":"2025082707195654000_2012.sep26_1.bcr2012006294.4","unstructured":"Schwartz JJ . 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