Editorial  |   November 2013
Operating Outside the Box
Author Affiliations
  • N. Martin Giesecke, M.D.
    ASA NEWSLETTER
    Editor
Article Information
Airway Management / Ambulatory Anesthesia / Critical Care / Patient Safety / Advocacy and Legislative Issues / Quality Improvement / Editorial
Editorial   |   November 2013
Operating Outside the Box
ASA Monitor 11 2013, Vol.77, 4-5.
ASA Monitor 11 2013, Vol.77, 4-5.
Cases where anesthesia care is provided outside of the standard O.R. setting are the fastest-growing portion of my practice. It is also my impression that non-O.R. anesthesia (NORA) is becoming a regular occur-rence in most anesthetic practices. At least that is what I’m hearing from the residents who are out there interviewing for private practice jobs. They are asking to have us give them a rotation in NORA. This will enable them to feel prepared for those procedures they will be assigned to do upon taking that first job after graduating from their residency program.
NORA is not new. Those of us in my residency took care of patients having MRIs back when that technology was brand new. And we provided daily total intravenous anesthesia with sodium thiopental to pediatric patients under-going radiation therapy procedures. But even back in the late 1980s, going to another physician’s office to practice anesthesia was not widespread.
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