Preoperative optimization of patients undergoing interventional procedures: Infrastructure, logistics, and evidence-based medicine

Purpose of reviewPatients presenting for non-operating room procedures are often 'too sick' for surgery and require specific anesthesia care in remote areas with logistical and scheduling challenges.Recent findingsIncreased complexity and scope of minimally invasive procedures have expanded this practice. In addition, the concept of therapeutic options other than conventional surgery is gaining traction.SummaryOur review of recent literature confirms the complexity and supports the safety of providing care in non-operating room anesthesia locations. Standard preanesthesia assessments and principles apply to these areas.