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Challenges of Anesthesia Outside of the Operating Room 

Challenges of Anesthesia Outside of the Operating Room
Challenges of Anesthesia Outside of the Operating Room

Wendy L. Gross

and Richard D. Urman

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date: 21 January 2021

As health care bears the simultaneous burdens of rapid technological development and increasing financial constraints, there has been significant increase in the number and types of procedures performed outside of the operating room. The broadening scope and complexity of noninvasive procedures, along with increasing acuity of patients, often make deeper sedation, general anesthesia, and robust hemodynamic monitoring both necessary and challenging. Anesthesiologists are more frequently called upon to provide care for medically complex patients undergoing novel, unfamiliar procedures in nontraditional locations. As technology advances, the number of procedure areas and the need for anesthesia services proliferates. The landscape of anesthesiology, therefore, is changing; new challenges and opportunities have emerged. This chapter provides an overview of these challenges, including assessing locations, equipment considerations, integrating care teams, safety guidelines, preprocedural patient evaluation and postprocedure care, commonly encountered problems, and financial considerations.

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