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Nonoperating room anesthesia for children

机译：非营利的儿童麻醉

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Purpose of review Nonoperating room anesthesia (NORA) cases performed in pediatric patients have increased over the past decade. It is imperative for the anesthesia provider to be familiar with the nuances of this environment and the myriad of cases to ensure delivery of safe and efficient care. Recent findings Though case volume has increased, sedative agents have largely remained unchanged. NORA sites must meet the same operating room standards and expectations of anesthesia established by the American Society of Anesthesiologists. Despite the increasing NORA volume and efforts to instill a similar culture of safety as the operating room complex, NORA cases present challenges with limited resources and access to the patient, highlighting the need for resident and fellow training to include NORA experiences. Experience working in the NORA environment helps provide, maintain, and improve the cognitive fitness and resilience that an anesthesiologist needs to tackle the complexities from the variety of NORA cases and locations. Patient factors aside, procedural considerations can affect the anesthetic plan, so understanding the nuances of the procedure helps the anesthesia provider provide safe and efficient care.
机译：在过去十年中，在儿科患者中进行的非营利室麻醉（Nora）病例增加了目的。麻醉提供者必须熟悉这种环境的细微差别和无数的案例，以确保提供安全和高效的护理。最近的发现，但案例量增加，镇静剂在很大程度上保持不变。诺拉网站必须符合美国麻醉学家建立的同样的手术室标准和对麻醉的预期。尽管诺拉的数量和努力升高了类似的安全文化作为手术室综合体，但诺拉案例存在有限的资源和患者的挑战，突出了居民的需求，包括诺拉经验。在Nora环境中工作的经验有助于提供，维护和改善麻醉师需要解决从诺拉病例和地点各种复杂性的认知健康和韧性。患者因素抛开，程序考虑可能会影响麻醉计划，因此了解程序的细微差别有助于麻醉提供者提供安全高效的护理。

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