title: Non-Operating Room Anesthesia in the Endoscopy Unit.
abstract: The term, non-operating room anesthesia, describes a location remote from the main operating suites and closer to the patient, including areas that offer specialized procedures, like endoscopy suites, cardiac catheterization laboratories, bronchoscopy suites, and invasive radiology suites. There has been an exponential growth in such procedures and they present challenges in both organizational aspects and administration of anesthesia. This article explores the requirements for the location, preoperative evaluation and patient selection, monitoring, anesthesia technique, and postoperative management at these sites. There is a need to better define the role of the anesthesia personnel at these remote sites.
authors.affiliation: Institute of Anesthesiology, CCLCM, Cleveland Clinic Main Campus, 9500 Euclid Avenue, Cleveland, OH 44195, USA. Electronic address: bhavans@ccf.org.
authors.forename: Sekar
authors.initials: S
authors.lastname: Bhavani
mesh_terms: D000701:Analgesics, Opioid / Q000627:therapeutic use*; D000758:Anesthesia; D000776:Anesthesiology; D001569:Benzodiazepines / Q000627:therapeutic use*; D016292:Procedural Sedation / Q000379:methods*; D054810:Deep Sedation / Q000379:methods*; D020927:Dexmedetomidine / Q000627:therapeutic use; D004724:Endoscopy; D016099:Endoscopy, Gastrointestinal; D006801:Humans; D006993:Hypnotics and Sedatives / Q000627:therapeutic use*; D007430:Intraoperative Care; D007649:Ketamine / Q000627:therapeutic use; D016343:Monitoring, Intraoperative; D009873:Operating Rooms; D011182:Postoperative Care; D015742:Propofol / Q000627:therapeutic use
chemical_list: D000701:Analgesics, Opioid; D006993:Hypnotics and Sedatives; D001569:Benzodiazepines; D020927:Dexmedetomidine; D007649:Ketamine; D015742:Propofol
keywords: NORA; NORA anesthetic management; NORA patient selection