Practical considerations in the development of a nonoperating room anesthesia practice

Basavana Goudra, Adrian Alvarez, Preet Mohinder Singh

Research output: Contribution to journalReview articlepeer-review

8 Scopus citations


Purpose of review More than 25% of the procedures necessitating an anesthesia provider's involvement are performed outside the operating room. As a result, it is imperative that the expansion of anesthesia services to any new nonoperating room anesthesia (NORA) location takes into account the challenges and safety considerations associated with such a transformation. Recent findings Although the adverse events encountered in the NORA suite are similar to those met in the operating room, the frequency and implications are different. In addition, many adverse events are site specific. Hypoxemia events, including cardiac arrest continue to dominate all areas of NORA practice. Challenges posed by new minimally invasive procedures continue to grow. Electronic documentation is rapidly expanding into the NORA suite, which brings both advantages and challenges. Summary Involvement of anesthesia providers at the development stage and an understanding of the administrative and clinical challenges are essential elements in the building of a NORA practice.

Original languageEnglish
Pages (from-to)526-530
Number of pages5
JournalCurrent Opinion in Anaesthesiology
Issue number4
StatePublished - Aug 1 2016


  • ERCP
  • adverse events
  • airway
  • cardiac arrest
  • colonoscopy
  • endoscopy
  • hypoxemia
  • nonoperating room anesthesia
  • patient safety
  • propofol


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