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Pediatric Anesthesia Outside the Operating Room: Safety and Systems

Mary Landrigan-Ossar1, Christopher Tan Setiawan2

  • 1Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA; Harvard Medical School, Boston, MA, USA.

Anesthesiology Clinics
|August 15, 2020
PubMed

Insights

Pediatric anesthesia outside the operating room is increasing. Anesthesiologists must understand unique risks in diverse locations like radiology and endoscopy suites for safe, high-quality care.

Area of Science:

  • Pediatric Anesthesiology
  • Non-Operating Room Anesthesia (NORA)

Background:

  • Anesthesia care outside the operating room (OR) is expanding in pediatric practice.
  • Children require anesthesia in various locations, including radiology, endoscopy, and cardiac catheterization labs.

Purpose of the Study:

  • To review safety and system considerations for pediatric anesthesia provided outside the OR.
  • To detail specific considerations for various remote anesthetizing locations.

Main Methods:

  • This is a 2-part review.
  • It provides an overview of safety and system considerations.
  • It details considerations for particular remote anesthetizing locations.

Main Results:

  • Anesthesiologists must grasp unique environmental, logistical, and perioperative risks in remote settings.
  • Safe and high-quality care necessitates understanding these specific challenges.
  • The review covers diverse locations such as radiology, gastroenterology, pulmonary endoscopy, radiation oncology, and cardiac catheterization labs.

Conclusions:

  • Pediatric non-operating room anesthesia requires specialized knowledge of remote site challenges.
  • Understanding and mitigating unique risks are crucial for patient safety and quality care in these environments.

Keywords:
Cardiac catheterizationInterventional radiologyMagnetoencephalogramNonoperating room anesthesiaOffsite anesthesiaRadiation therapy

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