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Anesthesiol Clin. 2014 Mar;32(1):25-43. doi: 10.1016/j.anclin.2013.10.010.

Anesthesia and sedation outside the operating room.

Author information

1
Division of Sedation, Texas Children's Hospital, Baylor College of Medicine, 6621 Fannin St, Suite A300, Houston, TX 77030, USA.
2
Department of Pediatrics, Sedation Oversight Committee, Texas Children's Hospital, Baylor College of Medicine, 6621 Fannin St, Suite A300, Houston, TX 77030, USA.
3
Pediatric Anesthesiology, Texas Children's Hospital, Baylor College of Medicine, 6621 Fannin St, Suite A300, Houston, TX 77030, USA. Electronic address: sstayer@bcm.tmc.edu.

Abstract

The volume of pediatric invasive and noninvasive procedures outside the operating room continues to increase. The acuity and complexity of patient clinical condition has resulted in the expansion of the anesthesiologist's role in remote sites. The anesthesia provider must ensure patient safety by assuring appropriate patient preparation, having available required equipment for monitoring and rescue, planning careful sedation/anesthesia management, continuing vigilance and observation into the recovery phase, and requiring strict discharge criteria. A quality improvement program for the department of anesthesiology should review anesthetic and sedation outcomes of patients both inside and outside the operating room.

KEYWORDS:

Anesthesia; Pediatric; Pediatric radiology; Procedure suite; Quality improvement; Sedation

PMID:
24491648
DOI:
10.1016/j.anclin.2013.10.010
[Indexed for MEDLINE]

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