• Curr Opin Anaesthesiol · Aug 2020

    Review

    Risk stratification in patients undergoing nonoperating room anesthesia.

    • Brecht Bockstael, Nadia Najafi, and Jan Poelaert.
    • Department of Anaesthesiology and Perioperative Medicine, University Hospital Brussels (UZBrussel).
    • Curr Opin Anaesthesiol. 2020 Aug 1; 33 (4): 571-576.

    Purpose Of ReviewA 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.Recent FindingsThis 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.SummaryApart 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.

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