TY - CHAP M1 - Book, Section TI - Anesthesia at Pediatric Offsite Locations A1 - Henry, Amy A2 - Ellinas, Herodotos A2 - Matthes, Kai A2 - Alrayashi, Walid A2 - Bilge, Aykut PY - 2021 T2 - Clinical Pediatric Anesthesiology AB - FOCUS POINTSWhen providing anesthesia at offsite locations, one should ensure adequate staff trained to assist the anesthesia provider, and a means to request further assistance when needed.During all anesthetics, the patient’s oxygenation, ventilation, circulation, and temperature (when clinically significant changes are expected) shall be continuously monitored.The anesthetic plan will vary depending upon patient characteristics, past medical history, and the type of procedure or imaging modality. Commonly used anesthetics in offsite locations with no scavenging system include propofol, dexmedetomidine, benzodiazepines, ketamine, and opioids.The length of stay following a procedure will be based upon the surgical procedure and/or imaging exam, as well as patient and anesthetic variables.Providing anesthesia in the magnetic resonance imaging (MRI) area has unique challenges, due to the high magnetic field. MRI-compatible equipment is required, and the anesthesiologist assumes greater physical distance from anesthetized patients.The shorter nature of most computed tomography (CT) scans, some of which do not require intravenous access, allow for variable anesthetic techniques.Children may require anesthesia for general fluoroscopy, nuclear medicine, radiation therapy, and MEG (magnetoencephalography) scans, despite the usually non-painful nature of these imaging modalities. A short-acting anesthetic such as propofol and dexmedetomidine can provide adequate conditions for successful images.Procedures in the interventional radiology suite can be both simple and complex, and patients can have significant comorbidities. The anesthesia provider anesthetizing in this area should be flexible, communicate well, and expect the unexpected. SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/10/11 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1176459809 ER -