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 patient harm and improve the quality of care. This chapter…
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 done outside of the operating room in 2011, in contrast…
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 more complicated and often take longer. Patients are presenting with…
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 this chapter. Non–operating room anesthesia (NORA) services are being increasingly…
The past two decades have seen advances in medical technology that now allow physicians to treat a patient with noninvasive or minimally invasive procedures. Patients who would have been subjected to sternotomy, thoracotomy, major vascular surgery, or laparotomy just a…