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Non-operating room anaesthesia in children
Administration of sedation and/or anaesthesia to patients undergoing painful or uncomfortable procedures at off-site locations is referred to as non-operating room anaesthesia (NORA). Sedating/anaesthetising children in an unfamiliar environment, with the lack of support staff, nonavailability of ch...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6761785/ https://www.ncbi.nlm.nih.gov/pubmed/31571689 http://dx.doi.org/10.4103/ija.IJA_486_19 |
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author | Maddirala, Subrahmanyam Theagrajan, Annu |
author_facet | Maddirala, Subrahmanyam Theagrajan, Annu |
author_sort | Maddirala, Subrahmanyam |
collection | PubMed |
description | Administration of sedation and/or anaesthesia to patients undergoing painful or uncomfortable procedures at off-site locations is referred to as non-operating room anaesthesia (NORA). Sedating/anaesthetising children in an unfamiliar environment, with the lack of support staff, nonavailability of choice of medication and equipment is often challenging. Studies have shown an increased risk of airway-related adverse events, complications, and even death outside the operating room locations. It is crucial to be familiar with the anatomical and physiological variations in children, well versed with the difficult airway algorithm and call for help early. The most common event in NORA claims was inadequate oxygenation/ventilation, which are preventable with vigilant monitoring. English language articles were searched in Pubmed, Google Scholar, and Academic using 'sedation in children', 'remote location anaesthesia', 'peadiatric sedation', and 'nonoperating room anaesthesia' as the mesh words. Full text of the relevant articles was obtained and this review article was synthesised. The article outlines various safety guidelines, sedation techniques, drugs used for sedation, environmental concerns, procedure-specific risks, and complications associated with NORA in children. |
format | Online Article Text |
id | pubmed-6761785 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-67617852019-09-30 Non-operating room anaesthesia in children Maddirala, Subrahmanyam Theagrajan, Annu Indian J Anaesth Review Article Administration of sedation and/or anaesthesia to patients undergoing painful or uncomfortable procedures at off-site locations is referred to as non-operating room anaesthesia (NORA). Sedating/anaesthetising children in an unfamiliar environment, with the lack of support staff, nonavailability of choice of medication and equipment is often challenging. Studies have shown an increased risk of airway-related adverse events, complications, and even death outside the operating room locations. It is crucial to be familiar with the anatomical and physiological variations in children, well versed with the difficult airway algorithm and call for help early. The most common event in NORA claims was inadequate oxygenation/ventilation, which are preventable with vigilant monitoring. English language articles were searched in Pubmed, Google Scholar, and Academic using 'sedation in children', 'remote location anaesthesia', 'peadiatric sedation', and 'nonoperating room anaesthesia' as the mesh words. Full text of the relevant articles was obtained and this review article was synthesised. The article outlines various safety guidelines, sedation techniques, drugs used for sedation, environmental concerns, procedure-specific risks, and complications associated with NORA in children. Wolters Kluwer - Medknow 2019-09 /pmc/articles/PMC6761785/ /pubmed/31571689 http://dx.doi.org/10.4103/ija.IJA_486_19 Text en Copyright: © 2019 Indian Journal of Anaesthesia http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Review Article Maddirala, Subrahmanyam Theagrajan, Annu Non-operating room anaesthesia in children |
title | Non-operating room anaesthesia in children |
title_full | Non-operating room anaesthesia in children |
title_fullStr | Non-operating room anaesthesia in children |
title_full_unstemmed | Non-operating room anaesthesia in children |
title_short | Non-operating room anaesthesia in children |
title_sort | non-operating room anaesthesia in children |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6761785/ https://www.ncbi.nlm.nih.gov/pubmed/31571689 http://dx.doi.org/10.4103/ija.IJA_486_19 |
work_keys_str_mv | AT maddiralasubrahmanyam nonoperatingroomanaesthesiainchildren AT theagrajanannu nonoperatingroomanaesthesiainchildren |