Current opinion in anaesthesiology
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Nonoperating-room anesthesia includes sedation or anesthesia for radiological imaging, cardiac catheterization, office-based surgery, and pediatric procedures or investigations, all of which have seen explosive growth over the last decade. This review discusses the factors that are driving this growth and the challenges we face as a profession to accommodate new practice paradigms. ⋯ Nonoperating-room anesthesia will play a central role in anesthesia practice in the future. Provision of these services requires planning, personnel, and institutional resources. This should be a high priority for anesthesiology departments to ensure delivery of the highest quality of patient care in a cost-effective and organized manner.
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We provide an overview of the immunological effects of commonly used anesthetic drugs and highlight their potential impact on long-term outcome after surgery. ⋯ Long-term outcome after surgery is a new safety concern in perioperative care. We are faced with enormous challenges in healthcare and research. As providers, tailoring an anesthetic plan to patients' needs will become increasingly critical, and immunology should help in this pursuit.
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In this review, we summarize the new drugs in development in the anaesthesia field. ⋯ We consider the main reason for low activity is the perception in industry that there is little need for new drugs in anaesthesia because the needs are well addressed by existing agents. If this is not the case then anaesthesiologists need to be more effective in communicating their requirements.
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Curr Opin Anaesthesiol · Aug 2006
ReviewEquipment and environmental issues for nonoperating room anesthesia.
The demand for anesthesia care outside the operating room continues to grow, driven by trends in advanced diagnostic techniques and the financial advantages of providing care out of the hospital setting. This review examines recent literature identifying new equipment and environmental issues that impact on nonoperating-room anesthesia care. ⋯ Practitioners who render anesthesia care outside of the operating room need to be cognizant of changing equipment design, which raises new challenges for rendering safe care.