Learning objectives
- Consider the limitations and challenges of non-operating room anesthesia
- Describe the anesthetic considerations for specific non-operating room anesthesia procedures
Background
- Non-operating room anesthesia (NORA) refers to all anesthetic procedures performed outside of the operating room
- NORA is a growing field in healthcare
- Unfamiliarity with the environment can be a challenge
Considerations
- Limitations of the room
- Equipment may be lacking
- Unfamiliar environment
- Staff may be unfamiliar with anesthetic procedures
- Exposure to radiation
- NORA sites have a greater proportion of ASA status III-V patients
- Anesthetic procedures, monitoring, and analgesia should be held to the same standards as in the operating room
- Potential for ad hoc requests, scheduling inconsistencies, poor communication, and less patience
Common NORA procedures
Suggested reading
- Wong T, Georgiadis PL, Urman RD, Tsai MH. Non-Operating Room Anesthesia: Patient Selection and Special Considerations. Local Reg Anesth. 2020;13:1-9. Published 2020 Jan 8. doi:10.2147/LRA.S181458
- Chung M, Vazquez R. Non-Operating Room Anesthesia. In: Gropper MA, editor. Miller’s Anesthesia, Ninth Edition, 2020. Elsevier, Philadelphia. p. 2284-2312.
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