Ambulatory Anesthesia in Remote Locations

Purpose of Review: The use of anesthesia services in non-operating room locations is increasing and ranges from minimal sedation–analgesia to general anesthesia. This review addresses important challenges encountered by anesthesia providers when working in remote locations. Recent Findings: The reduced physical space, ergonomics, limited anesthesia resources, and isolation from the operating room areas make these remote locations hostile environments for the anesthesia provider. Evidence suggests that anesthetic complications in remote locations are more severe than those occurring in the operating room, are associated with suboptimal care, and are preventable by better monitoring. Summary: Anesthesia providers need to be familiarized with the complexity and hazards of the environment and the type of procedures found in non-operating room locations. The standard of care for anesthesia delivery outside the operating room must be the same, despite the location where the anesthetic service is provided or the limitations of the location.