Non-operating room anesthesia involves the administration of anesthesia outside the operating theatre for patients undergoing uncomfortable or painful procedures. The procedures requiring non-operating room anesthesia include esophagogastroduodenoscopy (EGD), endoscopic retrograde cholangiopancreatography (ERCP), endobronchial ultrasound with transbronchial needle aspiration, bronchoalveolar lavages, balloon bronchoplasty, percutaneous transcatheter aortic valve replacement, percutaneous coronary intervention, radiological imaging, and in-vitro fertilization retrieval.
The child is shifted to the recovery room after the radiological procedure. The nurse constantly monitors the vital parameters of the child until the effect of anesthesia is completely weaned off. The child may experience tiredness and emotional stress after waking up.The effect of anesthesia may be completely weaned off within one hour. The child is given liquids, such as juice, and should be kept awake. Once the child can stay awake and gather full consciousness, the doctor may discharge him or her from the hospital.
Delivering anesthesia during gastrointestinal diagnostic procedures is unique compared to other subspecialties. The depth of sedation is generally similar to general anesthesia, but the airways remain unprotected. The management of complications during anesthesia depends upon the procedures used. For example, in the case of upper GI endoscopy, spontaneous ventilation is preserved, and cough reflexes are suppressed, while gag reflex preservation is important during colonoscopy. Further, preoxygenation may be provided during endoscopic retrograde cholangiopancreatography (ERCP).