Chapter

Anesthesia and Sedation Outside of the Operating Room: Outcomes, Regulation, and Quality Improvement

Julia Metzner and Karen B. Domino

in Anesthesia Outside of the Operating Room

Published on behalf of Oxford University Press

Published in print March 2011 | ISBN: 9780195396676
Published online August 2013 | e-ISBN: 9780199352814 | DOI: https://dx.doi.org/10.1093/med/9780195396676.003.0008
Anesthesia and Sedation Outside of the Operating Room: Outcomes, Regulation, and Quality Improvement

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Providing anesthesia care in areas outside the operating room (OOOR) has numerous challenges, including an unfamiliar environment; inadequate anesthesia support; deficient resources; cramped, dark, small rooms; and variability of monitoring modalities. In addition, sicker patients are undergoing more complex procedures in areas that may be physically located far from the OR environment. To improve safety of patients undergoing procedures in remote locations, practitioners need to be familiar with development of rigorous continuous quality improvement systems, national and regulatory patient safety efforts, as well as complications related to anesthesia/sedation in OOOR settings. This chapter will identify severe outcomes and mechanisms of injury in these remote locations, national patient safety and regulatory efforts that may be adapted to the OOOR setting, and quality improvement efforts essential to track outcomes and improve patient safety.

Chapter.  6947 words.  Illustrated.

Subjects: Anaesthetics ; Acute Medicine

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