Features  |   November 2019
Pediatric Non-O.R. Anesthesia (NORA) – The Essentials
Author Affiliations
  • Kumar G. Belani, M.B.B.S., M.S., FACA, FAAP
    Committee on Ambulatory Surgical Care
Article Information
Pediatric Anesthesia / Features
Features   |   November 2019
Pediatric Non-O.R. Anesthesia (NORA) – The Essentials
ASA Monitor 11 2019, Vol.83, 10-13.
ASA Monitor 11 2019, Vol.83, 10-13.
The need for sedation and anesthesia care for pediatric patients in non-O.R. locations has increased significantly during the past decade.1  It is not uncommon for such children to represent anywhere from 10 to 24 percent of the daily case load, as noted by Campbell and associates.1  Without psychological and other non-pharmacological interventions, pediatric patients are unlikely to cooperate and lay still even for non-painful diagnostic MRI procedures unless the procedures are brief, as during a CT examination.2,3  Thus, procedures outside the traditional O.R. requiring anesthesia care could be simple and straightforward, like performing an MRI in an otherwise healthy child, or as complex as a CT-guided ablation of a tumor in the prone position in a child with multiple co-morbidities. Although the care delivery models for pediatric NORA can be different, this report will discuss one such model and emphasize the essentials and safety measures that need to be in place whenever anesthesia care is provided at any site.
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