Anesthesia For Therapeutic And Diagnostic Procedures Flashcards
T/F The standard of anesthesia care and pt monitoring are different based on the location.
FALSE
-The standards of anesthesia care and pt monitoring are the same regardless of location.
T/F Remote locations have different safety concerns, such as radiation and powerful magnetic fields.
TRUE
What are the reasons anesthesia is moving out of the OR?
- allows pts to tolerate unpleasant procedures by relieving anxiety, discomfort, or pain
- sedation practices may result in cardiac or respiratory depression which must be rapidly recognized and managed to avoid risk of aspiration, hypoxic brain damage, cardiac arrest, or death
Who’s responsibility is it to ensure that the location meets the ASA guidelines for safety?
The anesthesia provider
Where is anesthesia provided outside of the OR?
-Radiology suites
-cardiac labs
-psychiatric units
-GI labs
CT
-MRI
-pulmonary labs
-office based procedures
What conditions are these pts at high risk of?
- airway compromise
- cardiopulmonary or neurological decompensation
- Gastric content aspiration
- complications or failure of prior sedation
- inability of pt to cooperate with sedation/procedure
- generally poor pt condition (ASA 3 & 4)
What are the ASA guidelines for NORA?
- reliable O2 source w/ backup
- adequate and reliable suction
- adequate and reliable scavenging system
- self-inflating resuscitation bag (90% FiO2)
- adequate drugs, supplies & equipment for planned activity
- adequate monitoring equipment
- sufficient electrical outlets
- sufficient space for equipment and personnel
- immediate suitability of a complete crash cart
- reliable 2-way communication
- observation of building and safety codes and facility standards
- appropriate post-anesthesia management
What should be taken under consideration when scheduling NORA cases?
- understanding the procedure, the pts condition, the anticipated level of stimulation and pt position during the procedure
- how long the procedure will last
- Pts with difficult airways. Anticipated or not (can be problematic in NORA setting)
How does JCAHO define anesthesia care?
The administration of IV, IM, or inhalation agents that may result in the loss of protective reflexes.
T/F
JCAHO introduced standards requiring anesthesia services participate with non-anesthesiology departments in setting up a uniform quality of care for pts undergoing sedation in all parts of the hospital.
TRUE
Patients that receive anesthesia or sedation at alternative sites should expect the same ___________ __ ______ that they would receive in the OR.
Standard of Care
