Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2020 Aug;33(4):571-576.
doi: 10.1097/ACO.0000000000000888.

Risk stratification in patients undergoing nonoperating room anesthesia

Brecht Bockstael  1 , Nadia Najafi  1 , Jan Poelaert  1   2
Affiliations
Review

Risk stratification in patients undergoing nonoperating room anesthesia

Brecht Bockstael et al. Curr Opin Anaesthesiol. 2020 Aug.

Abstract

Purpose of review: A growing numerical and complexity of patients requiring nonoperating room anesthesia (NORA) necessitates a multidisciplinary approach of a highly experienced team in a highly technological setting of the cathlab or radiology suite. These requirements are even more magnified in the context of the coronavirus disease 2019 (COVID-19) pandemic.

Recent findings: This review describes the aspects of risk stratification both in adults and children with respect to patient morphology, airway management, cardiorespiratory function and finally future developments, which could beneficially interfere with imminent management in NORA. Moreover, some particular features related to COVID-19 are also discussed.

Summary: Apart from a thorough preoperative assessment, preventive strategies and well-chosen monitoring should be implemented to preclude inadvertent events in sometimes high-risk patients. Timely preventive measures and early recognition of complications could only be achieved by a multidisciplinary cooperating team. In addition, the implementation of safety measurements due to the infectious transmission to both the patients and care givers is crucial.

PubMed Disclaimer

References

    1. Choi JW, Kim DK, Lee SH, et al. Comparison of safety profiles between nonoperating room anesthesia and operating room anesthesia: a study of 199,764 cases at a Korean Tertiary Hospital. J Korean Med Sci 2018; 33:e183.
    1. Woodward ZG, Urman RD, Domino KB. Safety of non-operating room anesthesia: a closed claims update. Anesthesiol Clin 2017; 35:569–581.
    1. Maddirala S, Theagrajan A. Nonoperating room anaesthesia in children. Indian J Anaesth 2019; 63:754–762.
    1. Mongodi S, Ottonello G, Viggiano R, et al. Ten-year experience with standardized nonoperating room anesthesia with Sevoflurane for MRI in children affected by neuropsychiatric disorders. BMC Anesthesiol 2019; 19:235.
    1. Bhavani S. Non-operating room anesthesia in the endoscopy unit. Gastrointest Endosc Clin N Am 2016; 26:471–483.