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Challenges of Anesthesia Outside of the Operating Room 

Challenges of Anesthesia Outside of the Operating Room
Chapter:
Challenges of Anesthesia Outside of the Operating Room
Author(s):

Wendy L. Gross

and Richard D. Urman

DOI:
10.1093/med/9780195396676.003.0001
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date: 17 July 2019

As health care bears the simultaneous burden of rapid technological development and increasing financial constraints, diagnostic and therapeutic interventions are performed more frequently outside of the operating room (OOOR) by a broadening spectrum of medical practitioners. The broadening scope and complexity of noninvasive procedures as well as the increasing acuity of patients undergoing them often make deeper sedation, general anesthesia (GA), and robust hemodynamic monitoring necessary and challenging. Anesthesiologists are more frequently called upon to provide care for sicker patients (American Society of Anesthesiologists (ASA) III/IV patients) undergoing novel, unfamiliar procedures in nontraditional locations. As technology advances, the number of procedure areas and the need for anesthesia services proliferates. As the OOOR cases continue to grow at an exponential rate, the landscape of anesthesiology is changing; new challenges and opportunities emerge.

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