Out of Operating Room Anesthesia

Basavana G. Goudra MD, FRCA, FCARCSI   Dr Goudra is an Associate Professor of Anesthesiology and Critical Care at the University of Pennsylvania’s Perelman School of Medicine. He obtained his primary medical education from Bangalore Medical College, Bangalore, India. After training as a junior resident at the prestigious Jawaharlal Institute of Medical Education and Research (JIPMER), Pondicherry, he moved to Ireland for Specialist training. Subsequently, he worked as a fellow in pediatric anesthesia at the Cincinnati Children’s Hospital; Cincinnati, Ohio before moving to the UK to work as a consultant anesthetist at Russells Hall Hospital, NHS, England. His main area of focus is out of operating room anesthesia with an emphasis on anesthesia for endoscopic procedures and total intravenous anesthesia. He has conducted clinical research and published extensively in this area. Additionally, he has invented airway devices “Goudra Bite Block” and “Goudra Mask Airway” that are likely to improve the safety and efficiency of out of operating room anesthesia practice. Preet M. Singh MBBS, MD, DNBDr Singh is a renowned consultant anesthesiologist working at one of the topmost hospitals in India (All India institute of Medical Sciences- New Delhi). After obtaining a postgraduate degree in anesthesia in 2010, Dr Singh has been actively contributing and publishing in the field of clinical anesthesia. He has published more than 100 scholarly articles in various well known international scientific journals. In addition, he has authored multiple chapters on various aspects of anesthesia in many well-known anesthesiology books. His key interest areas include “Out of operating room anesthesia”, “chronic pain” and “anesthesia for the high risk”. His research work in the out of operating room anesthesia field is well recognized and has received numerous citations across the globe.

“This textbook is well organized and covers the most important aspects of anesthesia/sedation in NORA locations. It provides a general overview of all aspects of NORA. … This textbook can equip anesthesiologists with valuable strategies and practical insight based on clinical practice. It is a clinically applicable launching pad for the novice and seasoned anesthesiologist alike.” (Mohamed Mahmoud and Keira P. Mason, Anesthesia & Analgesia, Vol. 124 (6), June, 2017)

• Section 1. General concepts.- Pharmacology of sedative drugs used in Out of Operating Room Anesthesia.- Pharmacology of anesthetic drugs used in  Out of Operating Room Anesthesia.- Principles of delivery of sedatives and intravenous anesthetics in Out of Operating Room Anesthesia.- Section 2. Patient safety in procedures outside the operating room.- Preoperative assessment: General principles.- Fasting guidelines: Do they need to be different?- Organization of a sedation suite: setting the standards.- Section 3. Anesthesia for Endoscopic procedures.- Anesthesia for upper GI endoscopy including advanced endoscopic procedures.- Anesthesia for colonoscopy.- Anesthesia for ERCP.- Anesthesia for Bronchoscopy.- Airway devices in GI Endoscopy.- Section 4. Anesthesia for Cardiac procedures.- Anesthesia and Sedation strategies in electrophysiology: General concepts.- Anesthesia for cardioversion.- Anesthesia for cardiac ablation procedures.- Ventilation strategies including high frequency jet ventilation.- Section 5. Anesthesia for neuroradiology.- Anesthesia in the MRI suite and for CT scan.- Anesthesia for procedures in the neurointerventional suites.- Section 6. Anesthesia for other out of operating room procedures.- Anesthesia for outpatient dental procedures.- Anesthesia for Electroconvulsive therapy.- Anesthesia and sedation for interventional pain procedures.- Section 7. Special situations.- Pediatric off site Anesthesia.- Procedural Sedation in the emergency department.- Cosmetic procedures and office based sedation.- Anesthesia for ophthalmologic surgery.- Anesthesia and radiotherapy suite.- Infertility treatment: The Role of Anesthesia Techniques.- Challenges of performing out of operating room anesthesia on the morbidly obese.- Section 8. Future and controversies.- Sedation for gastrointestinal endoscopy: gastroenterologists approach.- Propofol Infusion Platforms.- Regional techniques: Roleand pitfalls.- Newer drugs for sedation: Soft pharmacology.- Future research and directions in Out of Operating Room Anesthesia.