Remote AnesthesiaHany El-Zahaby, MD
Ain Shams University, 2009 Remote anesthesiaAnesthesiologists are increasingly being asked to provide anesthetic care in locations outside of the OR.
These locations include: radiology suites, cardiac labs, psychiatric units, GI endoscopy suites, CT, MRI, and PACU.
It is the responsibility of the anesthesiologist to ensure that the location meets the ASA guidelines for safety. ObjectivesUnderstanding that the standards of anesthesia care and patient monitoring are the same regardless of location.
Remember that the key to efficient and safe remote anesthetic relies on open communication between the anesthesiologist and non-operating room personnel.
Realize that remote locations have different safety concerns, such as radiation and powerful magnetic fields. Common ProblemsPatients coming from wards with staff unfamiliar with preoperative preparation
Anesthetic assistance and maintenance of anesthetic equipment may be less than ideal e.g. anesthesia machine the oldest in the hospital, anesthetic machine disconnected and moved when not in use, empty gas cylinders Common ProblemsUnavailability of tools
Communication between non-operating room staff and the anesthesiologist may be poor
Recovery facilities are often non-existent ...