Non-Operating Room Anesthesia in the Endoscopy Unit

摘要

INTRODUCTION: The term, NORA, was coined to describe a location remote from the main operating suites and closer to the patient. The American Society of Anesthesiologists (ASA) in its newsletter in November 2013 recognized this transformation in delivery of health care that will continue to push the locus of care closer to the patient and in nontradi-tional settings. Unlike ambulatory procedures that might be done at designated rooms in the operating room suite, or separate designated building on or off campus, out-of-operating room procedures usually mean procedures carried out in areas that offer specialized procedures, like endoscopy suites, cardiac catheterization laboratories, invasive radiology, and so forth. As both the monitoring technology and anesthetic techniques continue to improve, the number of cases performed at remote locations continue to grow and many institutions have reported that up to 30% of anesthetics are administered to patients outside the operating room.3