Anesthesia Outside the Operating Room, 2nd Edition
It is undeniably true that we as a specialty are spending more time taking care of sicker patients in more remote settings. A recent analysis published in Anesthesia & Analgesia found that, in the United States, the proportion of non-operating room anesthesia (NORA) cases increased from 28.3% to 35.9% between 2010 and 2014, as did patient age, American Society of Anesthesiologists physical status classification, and the number of cases performed outside of normal working hours.1 The relevance of this increasing non-OR work is underscored by the 2018 Anesthesia Closed Claims update showing that complications such as adverse respiratory events and aspiration pneumonitis occur more frequently in NORA cases and that malpractice claims for deaths are more common in non-OR settings than in the OR.2 Plainly, we as anesthesiologists need to become comfortable working in these environments. The second edition of Anesthesia Outside the Operating Roomfrom the Oxford University Press is...
Conflicts of interest
This submission was handled by Dr. Hilary P. Grocott, Editor-in-Chief, Canadian Journal of Anesthesia.