Updates in Non-Operating Room Anesthesia

Purpose of review With an increase in the number and complexity of procedures in nonoperating room anesthesia (NORA) locations, navigating the landscape of planning, scheduling, workflow, and patient and clinician safety adds to the challenges of NORA space, requiring coordination of multiple teams and regulatory platforms. Recent findings With the constant increase in cases performed in the NORA space, expected to reach 50% of all anesthetics in the next decade, significant strides must be made in assuring patients’ and clinicians’ safety. New procedures have been developed and approved in all procedural areas, and anesthesiologists are leading the charge in getting all stakeholders together. Anesthesia departments face increased demand for those services, so establishing a NORA leadership to collaborate and coordinate the efforts is very important. Summary The review summarizes new developments in different procedural areas and their anesthetic management, and new recommendations by the American Society of Anesthesiology and Anesthesia Patient Safety Foundation for the safe conduct of anesthesia in the NORA space.