Local and Regional Anesthesia (Jan 2020)
Non-Operating Room Anesthesia: Patient Selection and Special Considerations
Abstract
Timothy Wong,1 Paige L Georgiadis,2 Richard D Urman,2 Mitchell H Tsai3 1University of Vermont Larner College of Medicine, Burlington, VT, USA; 2Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women’s Hospital, Boston, MA, USA; 3Department of Anesthesiology, Department of Orthopaedics and Rehabilitation (by Courtesy), Department of Surgery (by Courtesy), University of Vermont Larner College of Medicine, Burlington, VT, USACorrespondence: Mitchell H TsaiDepartment of Anesthesiology, Department of Orthopaedics and Rehabilitation (by Courtesy), University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT, USAEmail [email protected]: 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: non-operating room anesthesia, local and regional anesthesia, perioperative processes, safety, clinical outcomes
