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 2024/04/19
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.