RT Book, Section A1 Henry, Amy A2 Ellinas, Herodotos A2 Matthes, Kai A2 Alrayashi, Walid A2 Bilge, Aykut SR Print(0) ID 1176459809 T1 Anesthesia at Pediatric Offsite Locations T2 Clinical Pediatric Anesthesiology YR 2021 FD 2021 PB McGraw Hill PP New York, NY SN 9781259585746 LK accessanesthesiology.mhmedical.com/content.aspx?aid=1176459809 RD 2024/10/05 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.