Nonoperating room anesthesia for children

Current Opinion in Anaesthesiology
Charlotte Bell, Patricia M Sequeira

Abstract

With the continuous development of technological advances for diagnosis and treatment comes the increased need for anesthesia outside of the operating room. Children, because of their inability to cooperate with lengthy imaging procedures or painful treatments, form the largest group needing non operating room anesthesia (NORA). As the distinction between deep sedation and general anesthesia becomes less clear, it has become increasingly common for institutions to dedicate resources for pediatric NORA (as opposed to sedation services) to improve predictability, comfort, and safety. Anesthesia away from the operating room must meet all standards mandated for general anesthesia in the operating suite. In addition, NORA teams must meet non anesthesia specialty guidelines and requirements of the Joint Commission for the Accreditation of Healthcare Organizations. The complexities and hazards of distinct environments must be met and technical support provided. Communication, backup, and emergency systems must be integrated, often at significant geographical distances from central anesthesia services. Anesthesia personnel are often required to interact in multiple roles that may be unfamiliar. NORA is a specific microsystem environmen...Continue Reading

References

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Citations

Aug 27, 2013·Cancer radiothérapie : journal de la Société française de radiothérapie oncologique·C VigneronG Noël
Dec 5, 2012·International Journal of Radiation Oncology, Biology, Physics·Jeffrey C BuchsbaumPeter A S Johnstone
Jul 4, 2016·Gastrointestinal Endoscopy Clinics of North America·Sekar Bhavani
Apr 13, 2012·Anesthesiology Research and Practice·Kirk LalwaniDavid Wheeler
Feb 16, 2013·Journal of Pediatric Hematology/oncology·Icten E InceDuyguhan Isguven
Aug 11, 2015·Korean journal of anesthesiology·Ann Misun YounYoon-Hee Kim
Jul 11, 2009·International Anesthesiology Clinics·Cheryl K Gooden
Jul 7, 2020·Current Opinion in Anaesthesiology·Grace Shih, Philip D Bailey
Aug 29, 2021·British Journal of Anaesthesia·Abigail D HermanMyrtede C Alfred

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