General Consideration for Non-operating Room Anesthesia

Authors

  • yuwarin kositworakitkun -

DOI:

https://doi.org/10.1016/hscr.v38i2.264771

Keywords:

Non-operating room anesthesia, Preoperative assessment, Comorbidity, complications

Abstract

Non-operating room anaesthesia (NORA) is an anaesthetic procedure, taken place in remote locations in the hospital, outside traditional operating room. In past several years, the growing field of NORA was suited for several procedures and places, for example, interventional and nuclear radiology, cardiac catheterization, Gastrointestinal endoscopy, Interventional neuroradiology procedure and dental clinic. The challenges of NORA are unfamiliarity to environments and settings, post-anaesthetic complications management difficulty, dealing with patient comorbidity, as well as other setting and staff limitations, which directly affected to patient risk and outcome. According to limitations, the NORA principle is needed to enhance patient safety in several aspects, for example, preoperative evaluation, machine and equipment preparation, patient monitoring, post-operative and discharge planning, as well as emergency complications management.1-3

Keywords: Non-operating room anesthesia, Preoperative assessment, Comorbidity, complications

References

Bockstael B, Najaff N, poelaert J. Risk stratification in patients undergoing nonoperating room anesthesia. Curr Opin Anesthesiol 2020, 33:571-576

Poyhia R. Nonoperting room anesthesia for patients with serious commodities. Curr Opin Anesthesiol. 2020,33:594-600

Charles J, Wilson S. Guidelines for monitoring and management of Pediatric patients before, during and after sedation for diagnostic and therapeutic procedures. American academy of pediatrics. 2019;143(6):e20191000

Karen J, souter and andrew J, pittaway. Nonoperating Room Anesthesia (NORA). Paul G. Barash. Clinical Anesthesia. Philadlphia, USA: Lippincott; 2013,p.876-890.

Anornyotin S. Sedative and analgesic drugs for Gastrointestinal Endoscopic procedure. Journal of gastroenterology and hepatology research. 2014;3(7);1133-1144.

Timothy W, Georgisadis P, Urman R, Tsai M. Non-operating room anesthesia: patient selection and special considerations Local and regional anesthesia. 2020;13 -9.

Chang B, Alan D, James H, complication of Non-operating room procedures outcome from the national anesthesia clinical outcomes registry. J Patient saf 2015;00;00-00.

Dagal A. Radiation safety for anesthesiologists. Current Opinion in anesthesiology 2011,24:445-450.

Deen J, Vandevivere Y, Putte P. Challenges in the anesthetic management of ambulatory patients in the MRI suites. Curr. Opin anesthesiol 2017,30:000-000.

Goudra B, Alvarez A, Singh P. Practical considerations in the development of a nonoperating room anesthesia practice. Curr Opin Anesthesiol 2016,29:000-000

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Published

2023-12-29

How to Cite

1.
kositworakitkun yuwarin. General Consideration for Non-operating Room Anesthesia. HSCR [Internet]. 2023 Dec. 29 [cited 2024 Apr. 19];38(2):35-40. Available from: https://he02.tci-thaijo.org/index.php/hscr/article/view/264771

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Section

Review Article (ปฎิทัศน์)
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