Preoperative Evaluations
The preoperative evaluation of the patient undergoing anesthesia is both a requirement of the Centers for Medicare and Medicaid Services and important in preparing an anesthetic plan. Certain parts of…
Continuous Quality Improvement for Non–Operating Room Anesthesia Locations
As described throughout this book, non–operating room anesthesia (NORA) locations present a major challenge for safe anesthesia care. A vital quality improvement and risk management system is important to prevent…
Practice Procedure
The provision of hospital-based, non–operating room anesthesia (NORA) has become a burgeoning part of almost every anesthesiology practice in the United States. Cost savings, facilitated scheduling (as opposed to in…
Intravenous Anesthesia and Sedation Outside the Operating Room
Acknowledgment Anil Gupta would like to thank the Department of Anaesthetics, Gisborne Hospital, Gisborne, New Zealand, for the time he was given during the nonclinical sessions, which gave him the…
Critical Monitoring Issues for Non–Operating Room Anesthesia
The rise in the number of nonsurgical diagnostic and therapeutic interventions is driving the surge in volume of remote anesthesia and sedation services. These procedures have simultaneously become increasingly complex…
The Role of the Non–Operating Room Anesthesiologist
In recent years, the number of non–operating room anesthesia (NORA) procedures has increased significantly. At our institution—Morgan Stanley Children’s Hospital of New York-Presbyterian—40% of all anesthesia procedures (∼4000/10,000 cases) were…
Room Setup, Critical Supplies, and Medications
An increasingly large number of anesthetic cases are performed outside the traditional operating room environment. Procedures performed in areas such as the electrophysiology laboratory and interventional radiology department are becoming…
Neurosurgical Diseases and Trauma of the Spine and Spinal Cord: Anesthetic Considerations
The first descriptions of spine disorders were recorded nearly 4000 years ago in Egypt, when patients with such afflictions were left bedridden and death was considered unavoidable. One of the…
Designing Safety and Engineering Standards for the Non–Operating Room Anesthesia Procedure Site
Acknowledgments The authors would like to thank Kurt Smith and eppstein uhen architects in Madison and Milwaukee, Wisconsin, for their generous donation of time and expertise to the composition of…
Postoperative and Intensive Care Including Head Injury and Multisystem Sequelae
Critical care, including postoperative care, of the neurologically ill patient involves application of the general critical care principles of management with an added focus on prevention and treatment of secondary…
