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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
Summary
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.
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