Key result
Anesthesia outside the operating room poses unique challenges from unfamiliar environments and inadequate support.
Highlights the logistical and clinical challenges of providing anesthesia in satellite locations such as radiation oncology, MRI, and GI suites.
May warrant review of safety measures in non-OR settings; leaves open standardization of protocols across satellite locations.
Introduction The provision of anesthesia outside the operating room provides a unique set of challenges. The standards and principles that underlie the care of the patient should not be abandoned in satellite locations. However, patients who are referred for procedures in satellite locations may present with minimal preoperative information, possess challenging physical and anesthetic histories, and be scheduled in such a manner as to limit preparation time. The layout and special requirements of the satellite location can create unexpected barriers and may limit access to the patient and the availability of the anesthesia equipment. The challenges for the anesthesiologists include an unfamiliar environment, inadequate anesthesia support and insufficient number of trained personnel, and cramped, dark quarters and variability of monitoring modalities. In radiation oncology, MRI and occasionally the GI suite problems with noise and suboptimal positioning of the patient may be an issue.
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Brenda A. Gentz (2012) conducted a review in Anesthesia outside the operating room. Anesthesia in satellite locations was evaluated. Anesthesia provision outside the operating room presents unique challenges such as unfamiliar environments, inadequate support, and suboptimal patient positioning.
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