Non-Operating Room Anesthesia: Patient Selection and Special Considerations

Timothy Wong; Paige L Georgiadis; Richard D Urman; Mitchell H Tsai

doi:10.2147/LRA.S181458

Non-Operating Room Anesthesia: Patient Selection and Special Considerations

Local Reg Anesth. 2020 Jan 8:13:1-9. doi: 10.2147/LRA.S181458. eCollection 2020.

Authors

Timothy Wong¹, Paige L Georgiadis², Richard D Urman², Mitchell H Tsai³

Affiliations

¹ University of Vermont Larner College of Medicine, Burlington, VT, USA.
² Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston, MA, USA.
³ Department of Anesthesiology, Department of Orthopaedics and Rehabilitation (by Courtesy), Department of Surgery (by Courtesy), University of Vermont Larner College of Medicine, Burlington, VT, USA.

Abstract

Non-operating room anesthesia (NORA) represents a growing field of medicine with an increasing trend in the number of cases performed over the previous decade. As a result, anesthesia providers will need to enhance their familiarity with the resources, personnel, and environment outside of the operating room. Anesthesia delivery in NORA settings should be held with the same high-quality standards as that within the operating room. This review looks at special considerations in patient selection and the preoperative, intraoperative, and postoperative periods. In addition, there is a discussion on the unique aspects of specific NORA areas and the considerations that come with them.

Keywords: clinical outcomes; local and regional anesthesia; non-operating room anesthesia; perioperative processes; safety.

Publication types

Review