In the last 20 years, there has been a significant increase in the anesthesia services provided for non-operating room cases. It is likely that residents graduating today, and those in the future, will have a larger proportion of their practice outside of the O.R. In fact, some may join practices that entirely service locations outside of the traditional surgical suite. These non-operating room anesthesia (NORA) cases provide many challenges: outpatients are often older, medically complicated and have limited preoperative work up. To be successful in transitioning into practice these days requires that anesthesiologists must be comfortable and capable of providing anesthesia outside the O.R.

To face the challenges of these cases, anesthesiologists should have a strong foundation in NORA cases during residency. NORA offers residents challenges in that there is a higher proportion of patients with ASA Physical Status...

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