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KEY POINTS

  1. Standards of anesthesia care and patient monitoring do not vary with the anesthetizing location.
  2. Open communication between anesthesiologists and physicians working in non-operating room anesthetizing locations is key to efficient and timely provision of anesthetic care to patients in these areas.
  3. Anesthesiologists working in areas where radiologic equipment is in use need to be knowledgeable regarding radiation safety and take adequate precautions to ensure their own safety.
  4. The iodinated contrast media used in the radiology and neuroradiology suites, as well as the cardiac catheterization laboratory, may cause significant adverse reactions, and patients receiving contrast media require close monitoring.
  5. The unique nature of the MRI suite with its powerful magnetic fields mandates special care and training to avoid disastrous adverse events.
  6. Provision of quality anesthetic management in the cardiac catheterization laboratory requires an understanding of both the patient's underlying condition and the procedure to be performed.
  7. Electroconvulsive therapy has profound physiologic effects that must be understood and dealt with by anesthesiologists providing care to patients undergoing such therapy.
  8. Provision of anesthesia services in areas where therapeutic radiation is used requires further understanding of radiation safety and the installation of devices to allow remote monitoring of patients under general anesthesia.

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