• Curr Opin Anaesthesiol · Aug 2020

    Review

    Is there a place for regional anesthesia in nonoperating room anesthesia?

    • Annibal Faddoul and Francis Bonnet.
    • Département Médico Universitaire de Réanimation Anesthésie Médecine Périopératoire, Site Saint Antoine - Tenon, Sorbonne Université -Faculté de Médecine Paris VI, Paris, France.
    • Curr Opin Anaesthesiol. 2020 Aug 1; 33 (4): 561-565.

    Purpose Of ReviewGeneral anesthesia and monitored anesthesia care (MAC) are the most widely used techniques in nonoperating room anesthesia (NORA). However, regional anesthesia is slowly finding viable applications in this field. This review aims at providing an update on the current practice of regional anesthesia techniques outside of the operating theatre.Recent FindingsSome anesthetic departments have implemented the use of regional anesthesia in novel applications outside of the operating room. In most cases, it remains an adjunct to general anesthesia but is sometimes used as the sole anesthetic technique. The use of the paravertebral block during radiofrequency ablation of different tumors is a recent application in interventional radiology. In emergency medicine, regional anesthesia is gaining traction in analgesia for trauma patients.SummaryRegional anesthesia is finding its way into broader applications every day, offering a range of potential benefits in anesthetic care. Its implementation in NORA is promising and may aid in decreasing patient morbidity. However, great care should be taken in applying the recommended safety precautions for regional anesthesia in any setting.

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