Department of Anaesthesiology and Perioperative Medicine, University Hospital Brussels (UZBrussel).
Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel (VUB), Brussels, Belgium.
Curr Opin Anaesthesiol. 2020 Aug;33(4):571-576. doi: 10.1097/ACO.0000000000000888.
A growing numerical and complexity of patients requiring nonoperating room anesthesia (NORA) necessitates a multidisciplinary approach of a highly experienced team in a highly technological setting of the cathlab or radiology suite. These requirements are even more magnified in the context of the coronavirus disease 2019 (COVID-19) pandemic.
This review describes the aspects of risk stratification both in adults and children with respect to patient morphology, airway management, cardiorespiratory function and finally future developments, which could beneficially interfere with imminent management in NORA. Moreover, some particular features related to COVID-19 are also discussed.
Apart from a thorough preoperative assessment, preventive strategies and well-chosen monitoring should be implemented to preclude inadvertent events in sometimes high-risk patients. Timely preventive measures and early recognition of complications could only be achieved by a multidisciplinary cooperating team. In addition, the implementation of safety measurements due to the infectious transmission to both the patients and care givers is crucial.
越来越多需要非手术室麻醉（NORA）的患者数量和复杂性需要一个高度经验丰富的团队在心脏导管室或放射科套房的高科技环境中采用多学科方法。在 2019 年冠状病毒病（COVID-19）大流行的背景下，这些要求更加突出。
本文综述了成人和儿童在患者形态、气道管理、心肺功能方面的风险分层，并最终介绍了可能对 NORA 中即将进行的管理产生有益影响的未来发展。此外，还讨论了与 COVID-19 相关的一些特殊特征。
除了彻底的术前评估外，还应实施预防策略和精心选择的监测，以防止有时高风险患者发生意外事件。只有通过多学科合作团队才能及时采取预防措施并及早发现并发症。此外，由于传染病传播给患者和护理人员，实施安全措施至关重要。
