Nonoperating room anesthesia

Kramer, J. and Malsy, M. and Sinner, B. and Graf, B. M. (2019) Nonoperating room anesthesia. ANAESTHESIST, 68 (9). pp. 594-606. ISSN 0003-2417, 1432-055X

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Abstract

Anesthesia services outside central surgical facilities (nonoperating room anesthesia, NORA) have become more important. Nonoperating room anesthesia is a challenging field with a wide range of patient ages and interventions. The anesthesiologist is caught between the existing expertise in sedation, respiratory and emergency management and the fact that it may be a potentially avoidable cost factor. The efforts of some specialist departments to carry out sedation themselves even with more complex interventions have therefore increased. In order to permanently establish anesthesia here, apart from the pure anesthesiological expertise, a pronounced willingness to interdisciplinary communication and cooperation is necessary. Only in this way can the participating specialist disciplines be convinced of the anesthesiological added value for the patient. Groups of patients requiring special attention include pediatric patients. The care especially for children under 2 years old also requires the particular anesthesiological expertise of the supervising anesthesiologist; however, profound knowledge, for example in cardiac anesthesia, is also required if special interventions are decentrally managed in the cardiac catheterization laboratory.

Item Type: Article
Uncontrolled Keywords: GENERAL-ANESTHESIA; CONSCIOUS SEDATION; RADIOFREQUENCY ABLATION; RANDOMIZED-TRIAL; BRONCHOSCOPY; STROKE; GROWTH; CARE; ABR; Interventional procedure; Operating room management; Analgosedation by nonanesthetists; Pediatric anesthesia; Specialist standard
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Anästhesiologie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 30 Mar 2020 13:45
Last Modified: 30 Mar 2020 13:45
URI: https://pred.uni-regensburg.de/id/eprint/26308

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