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...
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Features| November 2019
Kumar G. Belani; Pediatric Non-O.R. Anesthesia (NORA) – The Essentials. ASA Monitor 2019; 83:10–13
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