The demand for non–operating room anesthesia (NORA) services is expanding rapidly and for diverse reasons. NORA procedures are often less invasive; many of these minimally or even noninvasive procedures are either no longer adaptable or not able to be performed…
Anesthetizing patients is a complex business. The number of tasks to perform on a daily basis has increased dramatically, and the number of locations in which they are performed also has risen. Effectively monitoring a patient, charting the patient’s progress,…
Sedation for medical procedures performed outside the operating room has been traditionally provided by proceduralists and their proxies. However, as these procedures have steadily increased in both number and complexity, anesthesiologists have been increasingly asked to provide care in non–operating…
Approximately 20,000 medical students take the Hippocratic Oath each year. They vow to spend the next 10 years learning the art and science of medicine, but little do they know that reality also involves economics and administrative problem-solving. In today’s…
You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here
Providing anesthesia in the magnetic resonance imaging (MRI) environment differs from that in the operating room. The static magnetic field necessitates that all monitors, devices, and machines be nonferrous. The gradient magnetic field can interfere with electrocardiographic (ECG) tracing and…
The pediatric patient population presents unique challenges to its anesthesia providers. These challenges are multiplied when administering an anesthetic in a non-—operating room anesthesia (NORA) location. Evidence indicates that NORA procedures have an increased risk for patients, especially with regard…
One of the driving forces in the genesis of the field of interventional radiology was its minimally invasive nature. As catheters and stents replaced the physiologically taxing “open” procedure, patients were able to have an intervention they may not otherwise…
An increasing number of pulmonary disorders are amenable to flexible or rigid bronchoscopic diagnostic or therapeutic intervention. New techniques such as endobronchial ultrasound, electromagnetic navigational bronchoscopy, and treatment of central airway obstruction, including tumor debulking and placement of airway stents,…
History of Anesthesia for Gastrointestinal Endoscopic Procedures Sedation and analgesia are common components to most upper and lower endoscopic procedures. Although diagnostic upper and lower endoscopy can be performed without sedation, the use of sedative medications improves patient comfort and…