Anesthesia outside of theater, also called “Remote Site Anesthesia” or “Nonoperating Room Anesthesia” (NORA), refers to the delivery of anesthetic services at a location outside the familiar environment of the main operating theater suite. The growing number of diagnostic and non-surgical procedures have expanded the role of anesthesia for a wide range of specialties and diverse patient groups. In children, the need for anesthetic services for such procedures is greater, as they are less likely to remain immobile for both diagnostic and interventional procedures.

The risks are significant when considering the problems of an isolated environment with poor access to support, let alone the challenges of anesthetizing small children. There have been recent advances in sedation techniques in children that have a wider margin of safety and require fewer anesthetic resources. This is evident by the...

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