Non Operating Room Anesthesia
Background
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Non-operating room anesthesia (NORA) refers to all procedures performed in non operating room environments
Considerations
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Location
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Crowded and unfamiliar
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Limited access to patient (i.e. C-arm at patient’s head)
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Monitoring may be limited and in unfamiliar positions
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Help is far away
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Equipment may be lacking (difficult airway cart, emergency supplies)
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Personnel
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Interventionist or proceduralist or nurses/assistants may be unfamiliar with conduct of anesthesia and anesthesiologists skillset
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Potential for:
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ad hoq requests
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scheduling inconsistencies
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poor communication
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less patience for “anesthesia time"
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Patient
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Range from "healthy" to “too sick for surgery"
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Potential for inadequate preoperative anesthesia work-up
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References
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Chung M, Vazquez R. Non-Operating Room Anesthesia. In: Gropper MA, editor. Miller's Anesthesia, Ninth Edition, 2020. Elsevier, Philadelphia. p. 2284-2312.