Anesthesiology and surgical technics have shown great development over the last decades. This caused several changes in anesthesiology practice, one of them is the growing need for anesthesia out of the operating room. Till now, we are facing this issue in the same way that we used to do in the operating room. Nevertheless, it is time to think about anesthesia in remote locations as a different entity, which has to be faced in a specific form, being able to describe it and to achieve the best results in a cost-effective approach.