• Felipe Urdaneta, Richa Wardhan, Gregory Wells, and Jeffrey D White.
• Department of Anesthesiology, University of Florida College of Medicine, Gainesville, Florida, USA.
• Curr Opin Anaesthesiol. 2022 Aug 1; 35 (4): 493501493-501.

Purpose Of ReviewNonoperating room anesthesia (NORA) procedures have expanded in number, variety, and complexity. NORA involves all age groups, including frail older adults and patients often considered too sick to tolerate traditional surgical interventions. Postoperative pulmonary complications are a significant source of adverse events in the perioperative setting. We present a review focused on preventing pulmonary complications in the interventional NORA setting.Recent FindingsNORA locations should function as independent, autonomous ambulatory units. We discuss a strategic plan involving a thorough preoperative evaluation of patients, including recognizing high-risk patients and their anesthetic management. Finally, we offer guidance on the challenges of conducting sedation and anesthesia in patients with coronavirus disease 2019 (COVID-19) or a history of COVID-19.SummaryThe demands on the interventional NORA anesthesia team are increasing. Strategic planning, checklists, consistent staffing assignments, and scheduled safety drills are valuable tools to improve patient safety. In addition, through quality improvement initiatives and reporting, NORA anesthetists can achieve reductions in periprocedural pulmonary complications.Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.

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