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Rivista di Anestesia, Rianimazione, Terapia Antalgica e Terapia Intensiva

Official Journal of the Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care
Indexed/Abstracted in: Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,036

Periodicità: Mensile

ISSN 0375-9393

Online ISSN 1827-1596


Minerva Anestesiologica 2009 Maggio;75(5):345-7


Risk and safety of anesthesia outside the operating room

Van De Velde M., Kuypers M., Teunkens A., Devroe S.

Department of Anesthesiology, ZNA UZ Leuven, Leuven, Belgium

More and more frequently anaesthetists must be able to provide complete, integrated anaesthetic care outside the traditional environment of the operating room. Providing non-operating room anaesthesia (NORA) has gained widespread popularity. Both the number and the complexity of these therapeutic and diagnostic procedures is increasing. Performing NORA cannot, in most cases, be compared with traditional anaesthesia care inside the operating room. NORA might carry a higher risk as opposed to anaesthesia inside the operating room. It has its specific logistical problems resulting in specific patient selection, pre-operative patient assessment, per-operative morbidity and mortality and post-operative patient follow-up and treatment. From what is available in the literature paediatric patients carry a high risk of complications; monitored anaesthesia care is associated with more complications and substandard care is often present. Despite these potential risks, the mortality and morbidity related to NORA is infrequently studied and poorly described.
Most authors agree that improvements in monitoring are essential to decrease the complication rate.

lingua: Inglese


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