Nonoperating Room Anesthesia

• Published in: Anesthesiology clinics Vol. 37; no. 2; pp. 301 - 316
• Main Authors: Bhavani, Sekar S., MD, Abdelmalak, Basem, MD
• Format: Journal Article
• Language: English
• Published: 01-06-2019
• Subjects: Anesthesia; General anesthesia; DNR; NORA GI Suite; NPO; MAC
• ISSN: 1932-2275
• DOI: 10.1016/j.anclin.2019.01.010

Exponential growth in endoscopy suite procedures due to technological advances requires teamwork between anesthesiologists, endoscopists, nursing teams, and technical and support staff. The current standard of care for moderate sedation includes a combination of anxiolytic drugs and analgesic drugs and sometimes are not adequate to ensure patient safety, efficiency, and comfort. The use of anesthesia services can improve safety, recovery, turnovers, and efficiency. The article discusses comprehensive preoperative evaluation, optimization of comorbidities, and intraoperative airway management strategies to deliver safe and efficient anesthesia, given the need to share the airway and allow the use of carbon dioxide in the gastrointestinal suite.