Why the study?
Anesthesia outside the operating room is rapidly expanding, requiring clinicians to understand the environmental challenges, anesthetic risks, and perioperative implications to deliver safe care.
With appropriate attention to organizational concerns and patient safety, anesthesiologists can safely provide cutting-edge technical advancements to pediatric patients in nonoperating room environments.
May warrant NORA safety protocols in practice; leaves open their outcome impact in prospective trials.
PURPOSE OF REVIEW: Anesthesia outside the operating room is rapidly expanding for adult and pediatric patients. Anesthesia clinicians practicing in this area need a good understanding of the challenges of the NORA environment and the anesthetic risks and perioperative implications of practice so that they can deliver safe care to their patients. RECENT FINDINGS: Recent reports from large patient databases have afforded anesthesiologists a greater understanding of the risk of NORA when compared to anesthesia in the operating room. Descriptions of advances in team training with the use of simulation have allowed the development of organized procedural teams. With an emphasis on clear communication, an understanding of individual roles, and a patient-centered focus, these teams can reliably develop emergency response procedures, so that critical moments are not delayed in an environment remote from usual assistance. SUMMARY: With appropriate attention to organizational concerns (i.e. team environment, safety protocols) and unrelenting focus on patient safety, anesthesiologists can assist in safely providing the benefit of cutting-edge technical advancements to pediatric patients in these challenging environments.
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Setiawan et al. (2020) studied this question.
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