Sedation-analgesia techniques for nonoperating room anesthesia: an update

Curr Opin Anaesthesiol. 2022 Aug 1;35(4):450-456. doi: 10.1097/ACO.0000000000001123. Epub 2022 Mar 11.

Abstract

Purpose of review: There has been a substantial increase in nonoperating room anesthesia procedures over the years along with an increase in the complexity and severity of cases. These procedures pose unique challenges for anesthesia providers requiring meticulous planning and attention to detail. Advancements in the delivery of sedation and analgesia in this setting will help anesthesia providers navigate these challenges and improve patient safety and outcomes.

Recent findings: There has been a renewed interest in the development of newer sedative and analgesic drugs and delivery systems that can safely provide anesthesia care in challenging situations and circumstances.

Summary: Delivery of anesthesia care in nonoperating room locations is associated with significant challenges. The advent of sedative and analgesic drugs that can be safely used in situations where monitoring capabilities are limited in conjunction with delivery systems, that can incorporate unique patient characteristics and ensure the safe delivery of these drugs, has the potential to improve patient safety and outcomes. Further research is needed in these areas to develop newer drugs and delivery systems.

Publication types

  • Review

MeSH terms

  • Analgesia* / adverse effects
  • Anesthesia* / adverse effects
  • Anesthesia* / methods
  • Anesthesiology*
  • Humans
  • Hypnotics and Sedatives / adverse effects
  • Patient Safety

Substances

  • Hypnotics and Sedatives