Key result
Although no studies are currently available, morbidity and mortality of anaesthesia outside the operating room should be comparable to conventional settings if standard monitoring and personnel are used.
Why the study?
Does anaesthesia outside the operating room have different morbidity and mortality rates compared to conventional operating room anaesthesia?
Does anaesthesia outside the operating room have different morbidity and mortality rates compared to conventional operating room anaesthesia?
Anaesthesia outside the operating room should have comparable safety to conventional OR anaesthesia provided standard monitoring and equipment are utilized, though specific studies are lacking.
May justify standard monitoring outside the OR; leaves open need for comparative safety studies.
PURPOSE OF REVIEW: The purpose of this review is to provide information related to morbidity and mortality associated with anaesthesia outside the operating room. RECENT FINDINGS: There is an increasing demand for anaesthesia at remote locations. Because of its specific characteristics, resulting from the location and the patient, morbidity and mortality rates of remote location anaesthesia could differ from conventional operating room anaesthesia. However, no studies are currently available. On the basis of morbidity and mortality data from conventional operating room anaesthesia, we reached some important conclusions with regard to the safety of anaesthesia outside the operating room. A well-equipped anaesthesia machine, standard monitoring (electrocardiogram, oxygen saturation and non-invasive blood pressure), trained personnel and adequate planning should be standard for all out of the operating room procedures. When all these are in place, the incidence of morbidity or mortality should be comparable to that of anaesthesia provided in the operating room. SUMMARY: There is certainly a need for studies concerning morbidity and mortality at remote location anaesthesia. Special care for the prevention of hypothermia should be given to those patients undergoing long-lasting diagnostic procedures, e.g. magnetic resonance imaging scans or cardiological investigations.
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Missant et al. (2004) conducted a review in Anaesthesia outside the operating room. Anaesthesia outside the operating room vs. Conventional operating room anaesthesia was evaluated on Morbidity and mortality. Although no studies are currently available, morbidity and mortality of anaesthesia outside the operating room should be comparable to conventional settings if standard monitoring and personnel are used.
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