Practical considerations in the development of a nonoperating room anesthesia practice
Basavana Goudra1, Adrian Alvarez, Preet Mohinder Singh
1aDepartment of Anesthesiology and Critical Care Medicine, Perelman School of Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA bDepartment of Anesthesia, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina cDepartment of Anesthesia, All India Institute of Medical Sciences, New Delhi, India.
Current Opinion in Anaesthesiology
|April 8, 2016
Summary
Anesthesia providers must consider unique challenges and safety for non-operating room anesthesia (NORA) procedures. Understanding these factors is crucial for developing safe and effective NORA practices.
Area of Science:
- Anesthesiology
- Healthcare Administration
Background:
- Over 25% of procedures requiring anesthesia occur outside the traditional operating room.
- Expansion of anesthesia services to non-operating room anesthesia (NORA) locations presents unique challenges and safety considerations.
Purpose of the Study:
- To review the challenges and safety considerations associated with expanding anesthesia services to NORA locations.
- To highlight the importance of involving anesthesia providers in the development of NORA practices.
Main Methods:
- This review synthesizes current literature and expert knowledge on NORA practices.
- Analysis of adverse events and emerging trends in NORA settings.
Main Results:
- Adverse events in NORA settings, while similar to the OR, have different frequencies and implications, with many being site-specific.
- Hypoxemia and cardiac arrest remain significant concerns in NORA.
- Increasingly complex minimally invasive procedures and the integration of electronic documentation present growing challenges.
Conclusions:
- Early involvement of anesthesia providers in the planning and development stages of NORA is essential.
- A thorough understanding of administrative and clinical challenges is critical for establishing successful NORA practices.
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