Department of Anesthesiology and Perioperative Medicine, The University of Alabama at Birmingham, Alabama, USA.
Department of Anesthesiology, College of Medicine, The University of Tennessee Health Science Center, Tennessee, USA.
Curr Opin Anaesthesiol. 2021 Aug 1;34(4):430-436. doi: 10.1097/ACO.0000000000001012.
Nonoperating room anesthesia (NORA) procedures continue to increase in type and complexity as procedural medicine makes technical advances. Patients presenting for NORA procedures are also older and sicker than ever. Commensurate with the requirements of procedural medicine, anesthetic monitoring must meet the American Society of Anesthesiologists standards for basic monitoring.
There have been improvements in the required monitors that are used for intraoperative patient care. Some of these changes have been with new technologies and others have occurred with software refinements. In addition, specialized monitoring devises have also been introduced into NORA locations (depth of hypnosis, respiratory monitoring, point-of care ultrasound). These additions to the monitoring tools available to the anesthesiologist working in the NORA-environment push the boundaries of procedures which may be accomplished in this setting.
NORA procedures constitute a growing percentage of total administered anesthetics. There is no difference in the monitoring standard between that of an anesthetic administered in an operating room and a NORA location. Anesthesiologists in the NORA setting must have the same compendium of monitors available as do their colleagues working in the operating suite.
随着程序医学的技术进步，非手术室麻醉（NORA）的类型和复杂性不断增加。接受 NORA 程序的患者也比以往任何时候都更老、更病。与程序医学的要求相一致，麻醉监测必须符合美国麻醉师协会基本监测标准。
用于术中患者护理的必需监测器得到了改进。其中一些变化是新技术的进步，而另一些则是软件改进的结果。此外，专门的监测设备也已引入到 NORA 场所（催眠深度、呼吸监测、即时护理超声）。这些在 NORA 环境中使用的监测工具的增加，推动了在该环境中可能完成的程序的界限。
NORA 程序占总麻醉药物的比例不断增加。在手术室和 NORA 环境中实施麻醉的监测标准没有区别。在 NORA 环境中工作的麻醉师必须具备与在手术室工作的同事相同的监测设备。
