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    Non Operating Room Anesthesia (NORA)

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    evan
    This document discusses anesthesia performed outside of traditional operating rooms. It notes that patient conditions vary widely, from claustrophobic individuals needing MRI scans to critically ill patients requiring endoscopic procedures. Anesthesia in these settings requires specialized infrastructure and poses challenges as resources are more limited. However, advances like minimally invasive surgeries, short-acting drugs, improved post-operative pain and nausea management, and same-day admissions have made outdoor anesthesia safer and more cost-effective. The document emphasizes the need for policies ensuring anesthesia is delivered safely in remote hospital locations.

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    Non Operating Room Anesthesia (NORA)

    Uploaded by

    evan
    48 views6 pages
    This document discusses anesthesia performed outside of traditional operating rooms. It notes that patient conditions vary widely, from claustrophobic individuals needing MRI scans to critically ill patients requiring endoscopic procedures. Anesthesia in these settings requires specialized infrastructure and poses challenges as resources are more limited. However, advances like minimally invasive surgeries, short-acting drugs, improved post-operative pain and nausea management, and same-day admissions have made outdoor anesthesia safer and more cost-effective. The document emphasizes the need for policies ensuring anesthesia is delivered safely in remote hospital locations.

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    non operating room anesthesia. 2018 in power point. please update for your convenient

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    Non operating room anesthesia (NORA)

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    This document discusses anesthesia performed outside of traditional operating rooms. It notes that patient conditions vary widely, from claustrophobic individuals needing MRI scans to critically ill patients requiring endoscopic procedures. Anesthesia in these settings requires specialized infrastructure and poses challenges as resources are more limited. However, advances like minimally invasive surgeries, short-acting drugs, improved post-operative pain and nausea management, and same-day admissions have made outdoor anesthesia safer and more cost-effective. The document emphasizes the need for policies ensuring anesthesia is delivered safely in remote hospital locations.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    48 views6 pages

    Non Operating Room Anesthesia (NORA)

    Uploaded by

    evan
    This document discusses anesthesia performed outside of traditional operating rooms. It notes that patient conditions vary widely, from claustrophobic individuals needing MRI scans to critically ill patients requiring endoscopic procedures. Anesthesia in these settings requires specialized infrastructure and poses challenges as resources are more limited. However, advances like minimally invasive surgeries, short-acting drugs, improved post-operative pain and nausea management, and same-day admissions have made outdoor anesthesia safer and more cost-effective. The document emphasizes the need for policies ensuring anesthesia is delivered safely in remote hospital locations.

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    of 6

    DEPARTEMEN ILMU ANESTESI, PERAWATAN INTENSIF, Modul Anestesi Semester 4

    DAN MANAJEMEN NYERI


    Desember 2018
    FAKULTAS KEDOKTERAN UNIVERSITAS HASANUDDIN

    Ambulatory, Nonoperating Room, & office –Based


    Anesthesia
    (Diterjemahkandari: ButterworthJF.MackeyDC,.WasnickJD.,Morgan&Mikhail‘sClinicalAnesthesiology.Edisi6th.2018.McGrawHill:Philadelphia

    Oleh:
    Evan Kristiono
    C1132161203
     
    Pembimbing:
    Dr. Syafruddin Gaus Ph.D,Sp.An-KMN-KNA
    Latar Belakang
    • Anestesi diluar kamar operasi(atau keluar dari kamar operasi
    anestesi) mengacu pada pasien rawat inap dan pasien operasi
    rawat jalan yang menjalani anestesi.
    • di luar kamar operasi tradisional.
    • Kondisi pasien sangat bervariasi
    • individu klaustrofobik yang membutuhkan anestesi untuk Magnetic
    resonance imaging (MRI) hingga pasien kondisi kritis yang
    membutuhkan endoscopic retrograde cholangiopancreatography.

    1. Granja C, Lopes A, Moreira S, et al. Patients’ recollections of experiences in the intensive care unit may affect their quality of life. Crit Care. 2005;9(2):96-109.
    2. 2. Gelinas C. Management of pain in cardiac surgery ICU patients: have we improved over time?. Intensive Crit Care Nurs. 2007;23(5):298-303.
    3. Zetterlund P, Plos K, Bergbom I, et al. Memories from intensive care unit persist for several years - a longitudinal prospective multi-centre study. Intensive Crit Care Nurs. 2012;28(3):159-167.
    4. Russell S. An exploratory study of patients’ perceptions, memories and experiences of an intensive care unit. J Adv Nurs. 1999;29(4):783-91.
    5. Cullen L, Greiner J, Titler MG. Pain management in the culture of critical care. Crit Care Nurs Clin North Am. 2001;13(2):151-66.
    6. Chanques G, Viel E, Constantin JM, et al. The measurement of pain in intensive care unit: comparison of 5 self-report intensity scales. Pain. 2010;151(3):711-21.
    Latar Belakang
    • Anestesi di luar kamar operasi anestesi membutuhkan penyedia anestesi
    untuk bekerja di lokasi terpencil di rumah sakit, di mana kemudahan akses
    ke peralatan pasien dan anestesi terbatas
    • Staf di lokasi tersebut mungkin tidak terbiasa dengan persyaratan
    untukpengiriman anestesi yang aman.
    • American Society of Anesthesiologist (ASA) merekomendasikan infrastruktur
    fisik dan operasional untuk menjamin keamanan kegiatan anestesi.

    1. Granja C, Lopes A, Moreira S, et al. Patients’ recollections of experiences in the intensive care unit may affect their quality of life. Crit Care. 2005;9(2):96-109.
    2. 2. Gelinas C. Management of pain in cardiac surgery ICU patients: have we improved over time?. Intensive Crit Care Nurs. 2007;23(5):298-303.
    3. Zetterlund P, Plos K, Bergbom I, et al. Memories from intensive care unit persist for several years - a longitudinal prospective multi-centre study. Intensive Crit Care Nurs. 2012;28(3):159-167.
    4. Russell S. An exploratory study of patients’ perceptions, memories and experiences of an intensive care unit. J Adv Nurs. 1999;29(4):783-91.
    5. Cullen L, Greiner J, Titler MG. Pain management in the culture of critical care. Crit Care Nurs Clin North Am. 2001;13(2):151-66.
    6. Chanques G, Viel E, Constantin JM, et al. The measurement of pain in intensive care unit: comparison of 5 self-report intensity scales. Pain. 2010;151(3):711-21.
    Kemajuan anestesi dan pembedahan
    diluar kamar operasi
    • Sebagian besar pasien dilakukan admisi pada hari operasi (difasilitasi oleh
    contohnya, laparoscopy, sehingga prosedur pembedahan kurang invasif
    • Anestesi dengan menggunakan obat dengan durasi pendek serta
    • Penanganan nyeri dan mual pasca anestesi yang berkembang
    • Biaya lebih ringan dibandingkan prosedur konvensional
    • Pasien dapat menjalani tanpa admisi ke rumah sakit, sebagai pasien rawat
    jalan.

    1. Granja C, Lopes A, Moreira S, et al. Patients’ recollections of experiences in the intensive care unit may affect their quality of life. Crit Care. 2005;9(2):96-109.
    2. 2. Gelinas C. Management of pain in cardiac surgery ICU patients: have we improved over time?. Intensive Crit Care Nurs. 2007;23(5):298-303.
    3. Zetterlund P, Plos K, Bergbom I, et al. Memories from intensive care unit persist for several years - a longitudinal prospective multi-centre study. Intensive Crit Care Nurs. 2012;28(3):159-167.
    4. Russell S. An exploratory study of patients’ perceptions, memories and experiences of an intensive care unit. J Adv Nurs. 1999;29(4):783-91.
    5. Cullen L, Greiner J, Titler MG. Pain management in the culture of critical care. Crit Care Nurs Clin North Am. 2001;13(2):151-66.
    6. Chanques G, Viel E, Constantin JM, et al. The measurement of pain in intensive care unit: comparison of 5 self-report intensity scales. Pain. 2010;151(3):711-21.
    Kemajuan anestesi dan pembedahan
    diluar kamar operasi

    1. Granja C, Lopes A, Moreira S, et al. Patients’ recollections of experiences in the intensive care unit may affect their quality of life. Crit Care. 2005;9(2):96-109.
    2. 2. Gelinas C. Management of pain in cardiac surgery ICU patients: have we improved over time?. Intensive Crit Care Nurs. 2007;23(5):298-303.
    3. Zetterlund P, Plos K, Bergbom I, et al. Memories from intensive care unit persist for several years - a longitudinal prospective multi-centre study. Intensive Crit Care Nurs. 2012;28(3):159-167.
    4. Russell S. An exploratory study of patients’ perceptions, memories and experiences of an intensive care unit. J Adv Nurs. 1999;29(4):783-91.
    5. Cullen L, Greiner J, Titler MG. Pain management in the culture of critical care. Crit Care Nurs Clin North Am. 2001;13(2):151-66.
    6. Chanques G, Viel E, Constantin JM, et al. The measurement of pain in intensive care unit: comparison of 5 self-report intensity scales. Pain. 2010;151(3):711-21.

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