Gabriel RA, et al. – Researchers investigated data from the National Anesthesia Clinical Outcomes Registry to characterize workload during all hours of the day in the non–operating room anesthesia (NORA) environment and identify what type of patients and procedures were more likely to occur during after–hours. Findings revealed that during after–hour shifts (4.3% of cases), patients with higher American Society of Anesthesiologists physical status classification scores had increased odds for undergoing a NORA procedure, while procedures that were more physiologically complex had decreased odds. With the increasing demand for NORA services, they suggest fully understanding the challenges of providing safe and efficient anesthetic services particularly in locations where fewer resources are available.