Artigo recomendado: Near-Miss Data Show Signs of Trouble Outside OR

by Michael Vlessides

Anesthesiology News, ISSUE: MARCH 2013 | VOLUME: 39:3

Washington—Although nearly 15% of hospital-based anesthesia occurs outside the operating room, clinicians have little data on rates of morbidity and mortality in these locations.

But the evidence that does exist points to a cause for concern. A new study by California researchers shows that near misses in non–operating room anesthesia (NORA) may be on the rise, a significant worry given that adverse events in these locations are associated with a higher severity of injury and are more likely to result in death than those occurring in operating rooms (Curr Opin Anaesthesiol 2006; 19:436-442).

“My clinical experience suggested that provision of anesthesia outside the operating room was becoming increasingly common, and that patients undergoing procedures in remote locations could be quite ill, with multiple comorbidities,” said Angela Lipshutz, MD, MPH, a critical care fellow at the University of California, San Francisco School of Medicine. “I was concerned that provision of anesthesia in remote locations may be associated with increased risk, and that patterns of failure may be different from those associated with the provision of anesthesia in the operating room.”

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