Statements and Practice Parameters

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Click the icon <span style="margin-left: 4px; vertical-align: middle;" class="get-info" data-toggle="tooltip" data-html="true" data-placement="bottom" title="This is an example tooltip info icon."></span> next to each heading for more information about each.</p> </div> </div> </div> </div><div class="container"> <div class="row"> <div class="col-lg-10 offset-lg-1 general-article">  <div class="container"> <div class="row"> <div class="col-md-8"> <div class="rt-container external-links"> <h3 id="standards" style="margin-bottom:12px;margin-top:20px;">Standards<span style="margin-left: 4px; vertical-align: middle;" class="get-info" data-toggle="tooltip" data-html="true" data-placement="bottom" title="Practice Standards are the minimum level of clinical practice as defined by ASA. Standards are approved by the ASA House of Delegates."></span></h3>  <ul> <li><a href="/standards-and-practice-parameters/basic-standards-for-preanesthesia-care">Basic Standards for Preanesthesia Care</a></li> <li><a href="/standards-and-practice-parameters/standards-for-basic-anesthetic-monitoring">Standards for Basic Anesthetic Monitoring</a></li> <li><a href="/standards-and-practice-parameters/standards-for-postanesthesia-care">Standards for Postanesthesia Care</a> (Amended October 23, 2024)</li> </ul> <p style="font-size: 14px; line-height: 22px; padding: 8px 8px 16px 8px; text-align: left; background-color: #fff; color: #000; text-transform: uppercase;"><a href="#top" style="color: #4c4b4b; text-decoration:none;border:none;background-color:transparent;font-weight:700;letter-spacing:1px;">Back to top <em class="fa fa-angle-up"></em></a></p> </div> </div> <div class="col-md-4"> <div class="rt-container external-links"> <style data-eqcss-read="true"> a.bb3:hover, a.bb3:active {color:black; text-decoration:underline;font-size: 103%;} </style> <div style="width:100%;display:block:text-align:center;margin: auto 0;"> <a href="/beaconbotmember" style="text-decoration:none;border:none;background-color:transparent;"> </a><div style="width:240px;height:240px;border: 1px solid #f3c300;border-radius:50%;padding:16px;text-align:center;background-color:#FCF6E4;"><a href="/beaconbotmember" style="text-decoration:none;border:none;background-color:transparent;"> </a><div style="width:200px;align:center;padding-top:16px;text-align: center;color:#000;font-size:16px;font-weight:500;"><a href="/beaconbotmember" style="text-decoration:none;border:none;background-color:transparent;"></a><a class="bb3" href="/beaconbotmember" style="border:none;background-color:transparent;">I’m BeaconBot,<br />your members-only knowledge assistant.<br />Let’s get acquainted ›</a><br /><a href="/beaconbotmember" style="text-decoration:none;border:none;background-color:transparent;"><img style="width:76px;padding:10px;" alt="robot logo" src="/-/media/images/beaconbot/beacon-bot-icon-180.png?w=76&hash=4747B1CEC174C570BB9A338D38B578AC" /></a></div> </div> </div> </div> </div> </div> </div>  <div class="container"> <div class="row"> <div class="col-md-8"> <div class="rt-container external-links"> <div id="guidelines" style="margin-bottom:12px; padding-top:12px;"> </div> <h3 style="margin-bottom:12px; margin-top:12px;">Practice Guidelines<span style="margin-left: 4px; vertical-align: middle;" class="get-info" data-toggle="tooltip" data-html="true" data-placement="bottom" title="" data-original-title="Practice Guidelines are recommendations for patient care that are based on a systematic review and supported by evidence of sufficient quality, quantity, and consistency. Systematic review is defined as a review developed using accepted methodological standards that identifies and synthesizes evidence to answer the specific clinical question(s) with explicit search methods, study selection, and grading the strength of evidence. Practice Guidelines are approved by the ASA House of Delegates."></span></h3>  <ul> <li><a href="https://doi.org/10.1097/ALN.0000000000004379">Monitoring and Antagonism of Neuromuscular Blockade</a> (published January 2023)</li> <li><a href="https://doi.org/10.1097/ALN.0000000000004381">Preoperative Fasting: Carbohydrate-containing Clear Liquids with or without Protein, Chewing Gum, and Pediatric Fasting Duration</a> (published February 2023)</li> <li><a href="https://doi.org/10.1097/ALN.0000000000004002">Management of the Difficult Airway</a> (published January 2022)</li> <li><a href="https://doi.org/10.1097/ALN.0000000000002864">Central Venous Access</a> (published January 2020)</li> <li><a href="https://doi.org/10.1097/ALN.0000000000002043">Moderate Procedural Sedation and Analgesia</a> (published March 2018)</li> <li><a href="https://doi.org/10.1097/ALN.0000000000001452">Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration</a> (published March 2017)</li> <li><a href="https://doi.org/10.1097/ALN.0000000000000935">Obstetric Anesthesia</a> (published February 2016)</li> <li><a href="https://doi.org/10.1097/ALN.0000000000000975">Prevention, Detection and Management of Respiratory Depression Associated with Neuraxial Opioids Administration</a> (published March 2016)</li> <li><a href="https://doi.org/10.1097/ALN.0000000000000463">Perioperative Blood Management</a> (published February 2015)</li> <li><a href="https://doi.org/10.1097/ALN.0000000000000053">Perioperative Management of Patients with Obstructive Sleep Apnea</a> (published February 2014)</li> <li><a href="https://doi.org/10.1097/ALN.0b013e31827773e9">Postanesthetic Care</a> (published February 2013)</li> <li><a href="https://doi.org/10.1097/ALN.0b013e31823c1030">Acute Pain Management in the Perioperative Setting</a> (published February 2012)</li> <li><a href="https://doi.org/10.1097/ALN.0b013e3181c51e90">Transesophageal Echocardiography</a> (published May 2010)</li> <li><a href="https://doi.org/10.1097/00000542-200310000-00036">Pulmonary Artery Catheterization</a> (published October 2003)</li> </ul> <p style="font-size: 14px; line-height: 22px; padding: 8px 8px 16px 8px; text-align: left; background-color: #fff; color: #000; text-transform: uppercase;"><a href="#top" style="color: #4c4b4b; text-decoration:none;border:none;background-color:transparent;font-weight:700;letter-spacing:1px;">Back to top <em class="fa fa-angle-up"></em></a></p> </div> </div> <div class="col-md-4"> <div class="rt-container external-links"> <div style="padding:16px 0px 0px 8px;"> <div style="color:#FFFFFF;vertical-align:top; border:4px solid #1226aa;background-color:#1226aa;"> <div style="padding:12px 20px 0px 20px;"> <h3 style="margin:8px 0px 20px 0px;color:#FFFFFF;font-size: 18px;line-height:24px !important;">Stay ahead of the latest advice.</h3> <p style="margin:8px 0px 16px 0px;color:#FFFFFF;font-size: font-size: 14.5px;line-height:22px;">ASA members collaborate to maintain a comprehensive library of clinical and operational standards and guidelines aligned with today's challenges and advances. For greater context and community, join ASA today.</p> <p><a class="btn-primary" href="https://www.asahq.org/member-center/member-benefits?utm_source=ASAHQ&utm_medium=page_promo&utm_campaign=standards-and-practice-parameters ">Join now ›</a></p> </div> </div> </div> </div> </div> </div> </div>  <div class="rt-container external-links"> <div id="advisories" style="margin-bottom:12px; padding-top:12px;"> </div> <h3 style="margin-bottom:12px; margin-top:12px;">Practice Advisories & Alerts<span style="margin-left: 4px; vertical-align: middle;" class="get-info" data-toggle="tooltip" data-html="true" data-placement="bottom" title="Practice Advisories are similar to practice guidelines but with most or all recommendations supported by evidence of limited quality, quantity, or consistency. Practice Advisories are approved by the ASA House of Delegates."></span></h3>  <ul> <li><a href="https://doi.org/10.1097/ALN.0000000000002821">Perioperative Management of Patients with Cardiac Implantable Electronic Devices</a> (published February 2020)</li> <li><a href="https://doi.org/10.1097/ALN.0000000000002503">Perioperative Visual Loss Associated with Spine Surgery</a> (published February 2019)</li> <li><a href="https://doi.org/10.1097/ALN.0000000000001937">Prevention of Perioperative Peripheral Neuropathies</a> (published January 2018)</li> <li><a href="https://doi.org/10.1097/ALN.0000000000001521">Prevention, Diagnosis and Management of Infectious Complications Associated with Neuraxial Techniques</a> (published April 2017)</li> <li><a href="https://doi.org/10.1097/ALN.0000000000000458">Anesthetic Care Related to Magnetic Resonance Imaging</a> (published March 2015)</li> <li><a href="https://doi.org/10.1097/ALN.0b013e31827773d2">Prevention and Management of Operating Room Fires</a> (published February 2013)</li> <li><a href="https://doi.org/10.1097/ALN.0b013e31823c1067">Preanesthesia Evaluation</a> (published March 2012)</li> <li><a href="https://doi.org/10.1097/ALN.0b013e3181928913">Perioperative Management of Patients with Coronary Artery Stents</a> (published January 2009)</li> <li><a href="https://doi.org/10.1097/00000542-200604000-00031">Intraoperative Awareness and Brain Function Monitoring</a> (published April 2006)</li> </ul> <p style="font-size: 14px; line-height: 22px; padding: 8px 8px 16px 8px; text-align: left; background-color: #fff; color: #000; text-transform: uppercase;"><a href="#top" style="color: #4c4b4b; text-decoration:none;border:none;background-color:transparent;font-weight:700;letter-spacing:1px;">Back to top <em class="fa fa-angle-up"></em></a></p> </div> <div class="rt-container external-links"> <div id="statements" style="margin-bottom:12px; padding-top:12px;"> </div> <h3 style="margin-bottom:12px; margin-top:12px;">Statements<span style="margin-left: 4px; vertical-align: middle;" class="get-info" data-toggle="tooltip" data-html="true" data-placement="bottom" title="ASA statements are guidance documents that do not meet the practice parameter development requirements. They are often developed based on a collective opinion or consensus of a convened expert panel. Statements make recommendations on a range of topics including clinical management of individual patients, systems of care, and professional comportment such as privileging or ethical behavior. Statements must be approved by the ASA House of Delegates, are updated every five years, and available to the public."></span></h3>  <ul> <li><a href="/standards-and-practice-parameters/statement-on-practice-parameters">Statement on Practice Parameters</a></li> <li><a href="/standards-and-practice-parameters/statement-on-pregnancy-testing-prior-to-anesthesia-and-surgery">Statement on Pregnancy Testing Prior to Anesthesia and Surgery</a></li> <li><a href="/standards-and-practice-parameters/statement-on-reducing-maternal-peripartum-racial-and-ethnic-disparities-in-anesthesia-care">Statement on Reducing Maternal Peripartum Racial and Ethnic Disparities in Anesthesia Care</a></li> <li><a href="/standards-and-practice-parameters/statement-on-21st-century-cures-act-final-rule-information-blocking-compliance">Statement on 21st Century Cures Act Final Rule Information Blocking Compliance</a> (<strong><em>New!</em></strong> October 23, 2024)</li> <li><a href="/standards-and-practice-parameters/statement-on-access-to-pain-care">Statement on Access to Pain Care</a></li> <li><a href="/standards-and-practice-parameters/statement-on-burnout">Statement on Burnout</a> </li> <li><span style="text-align: center;"><a href="/standards-and-practice-parameters/asa-statement-on-creating-a-culture-of-well-being-for-health-care-workers">Statement on Creating a Culture of Well-Being for Health Care Workers</a></span></li> <li><span style="text-align: center;"><a href="/standards-and-practice-parameters/statement-on-deactivating-central-piped-nitrous-oxide-to-mitigate-avoidable-health-care-pollution">Statement on Deactivating Central Piped Nitrous Oxide to Mitigate Avoidable Health Care Pollution</a> (<strong><em>New!</em></strong> October 23, 2024)</span></li> <li><span style="text-align: center;"><a href="/standards-and-practice-parameters/statement-on-harassment-incivility-and-disrespect">Statement on Harassment, Incivility, and Disrespect</a> (<strong><em>New!</em></strong> October 23, 2024) </span></li> <li><a href="/standards-and-practice-parameters/statement-on-labeling-of-pharmaceuticals-for-use-in-anesthesiology">Statement on Labeling of Pharmaceuticals for Use in Anesthesiology</a></li> <li><a href="/standards-and-practice-parameters/statement-on-lactation-among-anesthesia-clinicians">Statement on Lactation Among Anesthesia Clinicians</a> </li> <li><a href="/standards-and-practice-parameters/statement-on-post-dural-puncture-headache-management">Statement on Post-Dural Puncture Headache Management</a></li> <li><a href="/standards-and-practice-parameters/statement-on-principles-trauma-anesthesiology">Statement on Principles Trauma Anesthesiology</a></li> <li><a href="/standards-and-practice-parameters/statement-on-administration-of-medications">Statement on Administration of Medications</a></li> <li><a href="/standards-and-practice-parameters/statement-on-anesthesia-support-of-postpartum-sterilization">Statement on Anesthesia Support of Postpartum Sterilization</a> (<strong><em>New!</em></strong> October 23, 2024)</li> <li><a href="/standards-and-practice-parameters/statement-on-anesthesiologist-head-injuries-in-anesthetizing-locations">Statement on Anesthesiologist Head Injuries in Anesthetizing Locations</a> (<strong><em>New!</em></strong> October 23, 2024)</li> <li><a href="/standards-and-practice-parameters/statement-on-anesthesiologists-role-in-reducing-maternal-mortality-and-severe-maternal-morbidity">Statement on Anesthesiologists' Role in Reducing Maternal Mortality and Severe Maternal Morbidity</a> </li> <li><a href="/standards-and-practice-parameters/statement-on-compensation-equity-among-anesthesiologists">Statement on Compensation Equity Among Anesthesiologists</a> (Amended October 23, 2024)</li> <li><a href="/standards-and-practice-parameters/statement-on-security-of-medications-in-the-operating-room">Statement on Security of Medications in the Operating Room</a></li> <li><a href="/standards-and-practice-parameters/statement-on-students-involved-in-anesthesia-care">Statement on Students Involved in Anesthesia Care</a> </li> <li><a href="/standards-and-practice-parameters/statement-on-substance-use-disorder">Statement on Substance Use Disorder</a></li> <li><a href="/standards-and-practice-parameters/statement-on-support-for-respiratory-therapists-rts">Statement on Support for Respiratory Therapists (RTs)</a></li> <li><a href="/standards-and-practice-parameters/statement-on-anesthetic-care-during-interventional-pain-procedures-for-adults">Statement on Anesthetic Care during Interventional Pain Procedures for Adults</a> </li> <li><a href="/standards-and-practice-parameters/statement-on-comparing-certified-anesthesiologist-assistant-and-certified-registered-nurse-anesthetist-education-and-practice">Statement on Comparing Certified Anesthesiologist Assistant and Certified Nurse Anesthetist Education and Practice</a> </li> <li><a href="/standards-and-practice-parameters/statement-on-comparing-certified-anesthesiologist-assistant-and-certified-registered-nurse-anesthetist-education-and-practice"></a><a href="/standards-and-practice-parameters/statement-on-certified-anesthesiologist-assistants-description-and-practice">Statement on Certified Anesthesiologist Assistants (CAAs): Description and Practice</a></li> <li><a href="/standards-and-practice-parameters/statement-on-clinical-privileges-for-the-non-physician-anesthesia-provider">Statement on Clinical Privileges for the Non-Physician Anesthesia Practitioner</a> </li> <li><a href="/standards-and-practice-parameters/statement-on-coi">Statement on Conflict of Interest</a></li> <li><a href="/standards-and-practice-parameters/statement-on-controlled-organ-donation-after-circulatory-death">Statement on Controlled Organ Donation After Circulatory Death</a> </li> <li><a href="/standards-and-practice-parameters/statement-on-criminalization-of-medical-errors">Statement on Criminalization of Medical Errors</a> </li> <li><a href="/standards-and-practice-parameters/statement-on-distractions">Statement on Distractions</a></li> <li><a href="/standards-and-practice-parameters/statement-on-distinguishing-monitored-anesthesia-care-from-moderate-sedation-analgesia">Statement on Distinguishing Monitored Anesthesia Care ("MAC") from Moderate Sedation/Analgesia (Conscious Sedation)</a></li> <li><a href="/standards-and-practice-parameters/statement-on-documentation-of-anesthesia-care">Statement on Documentation of Anesthesia Care</a> </li> <li><a href="/standards-and-practice-parameters/statement-on-drug-concentration-standardization">Statement on Drug Concentration Standardization</a> (Amended October 23, 2024)</li> <li><a href="/standards-and-practice-parameters/statement-on-economic-credentialing-and-contracting">Statement on Economic Credentialing and Contracting</a> (Amended October 23, 2024) </li> <li><a href="/standards-and-practice-parameters/statement-on-fatigue">Statement on Fatigue</a></li> <li><a href="/standards-and-practice-parameters/statement-on-fundamentals-of-a-safe-and-healthy-workplace-for-anesthesiologists">Statement on Fundamentals of a Safe and Healthy Workplace for Anesthesiologists</a> </li> <li><a href="/standards-and-practice-parameters/statement-on-granting-privileges-for-administration-of-moderate-sedation-to-practitioners-who-are-not-anesthesia-professionals">Statement on Granting Privileges for Administration of Moderate Sedation to Practitioners Who are Not Anesthesia Professionals</a></li> <li><a href="/standards-and-practice-parameters/statement-on-granting-privileges-for-deep-sedation-to-non-anesthesiologist-physicians">Statement on Granting Privileges for Deep Sedation to Non Anesthesiologist Physicians</a> </li> <li><a href="/standards-and-practice-parameters/statement-on-intravascular-catheterization-procedures">Statement on Intravascular Catheterization Procedures</a></li> <li><a href="/standards-and-practice-parameters/statement-on-intravenous-fluid-bag-spiking">Statement on Intravenous (IV) Fluid Bag Spiking</a> </li> <li><a href="/standards-and-practice-parameters/statement-on-ketamine-for-the-treatment-of-chronic-pain">Statement on Ketamine for the Treatment of Chronic Pain</a></li> <li><a href="/standards-and-practice-parameters/statement-on-neuraxial-medication-shortage-and-alternatives">Statement on Neuraxial Medication Shortage and Alternatives</a> </li> <li><a href="/standards-and-practice-parameters/statement-on-neurologic-complications-of-neuraxial-analgesia-anesthesia-in-obstetrics">Statement on Neurologic Complications of Neuraxial Analgesia/Anesthesia in Obstetrics</a> </li> <li><a href="/standards-and-practice-parameters/statement-on-nonoperating-room-anesthesia-services">Statement on Nonoperating Room Anesthesia Services</a> </li> <li><a href="/standards-and-practice-parameters/statement-on-oral-intake-during-labor">Statement on Oral Intake During Labor</a> </li> <li><a href="/standards-and-practice-parameters/statement-on-outcome-indicators-for-office-based-and-ambulatory-surgery">Statement on Outcome Indicators for Office-Based Anesthesia and Ambulatory Surgery</a></li> <li><a href="/standards-and-practice-parameters/statement-on-pain-during-cesarean-delivery">Statement on Pain During Cesarean Delivery</a> </li> <li><a href="/standards-and-practice-parameters/statement-on-palliative-care">Statement on Palliative Care</a> </li> <li><a href="/standards-and-practice-parameters/statement-on-peer-support-after-unexpected-outcomes---treatment-of-the-second-victim">Statement on Peer Support after Unexpected Outcomes: Treatment of the "Second Victim"</a> </li> <li><a href="/standards-and-practice-parameters/statement-on-personal-leave">Statement on Personal Leave</a> </li> <li><a href="/standards-and-practice-parameters/statement-on-physician-led-anesthesia-care">Statement on Physician-Led Anesthesia Care</a></li> <li><a href="/standards-and-practice-parameters/statement-on-physician-nonparticipation-in-legally-authorized-executions">Statement on Physician Nonparticipation in Legally Authorized Executions</a></li> <li><a href="/standards-and-practice-parameters/statement-on-practice-of-pain-medicine">Statement on Practice of Pain Medicine</a></li> <li><a href="/standards-and-practice-parameters/statement-on-practice-recommendations-for-pediatric-anesthesia">Statement on Practice Recommendations for Pediatric Anesthesia</a> </li> <li><a href="/standards-and-practice-parameters/statement-on-principles-for-alarm-management-for-anesthesia-professionals">Statement on Principles for Alarm Management for Anesthesia Professionals</a> </li> <li> <a href="/standards-and-practice-parameters/statement-on-professionalism">Statement on Professionalism</a> (Amended October 23, 2024)</li> <li><a href="/standards-and-practice-parameters/statement-on-providing-psychological-support-for-obstetric-patients">Statement on Providing Psychological Support for Obstetric Patients</a> (<strong><em>New!</em></strong> October 23, 2024)</li> <li><a href="/standards-and-practice-parameters/statement-on-qualifications-of-anesthesia-providers-in-the-office-based-setting">Statement on Qualifications of Anesthesia Providers in the Office Based Setting</a> (Amended October 23, 2024)</li> <li><a href="/standards-and-practice-parameters/statement-on-quality-metrics">Statement on Quality Metrics</a> </li> <li><a href="/standards-and-practice-parameters/statement-on-recommendations-for-safe-injection-practices">Statement on Recommendations for Safe Injection Practices</a> </li> <li><a href="/standards-and-practice-parameters/statement-on-regional-anesthesia">Statement on Regional Anesthesia</a></li> <li><a href="/standards-and-practice-parameters/statement-on-reporting-postoperative-pain-procedures-in-conjunction-with-anesthesia">Statement on Reporting Postoperative Pain Procedures in Conjunction with Anesthesia</a></li> <li><a href="/standards-and-practice-parameters/statement-on-respiratory-monitoring-during-endoscopic-procedures">Statement on Respiratory Monitoring During Endoscopic Procedures</a> (Amended October 23, 2024)</li> <li><a href="/standards-and-practice-parameters/statement-on-resuming-breastfeeding-after-anesthesia">Statement on Resuming Breastfeeding after Anesthesia</a> (Amended October 23, 2024)</li> <li><a href="/standards-and-practice-parameters/statement-on-safe-use-of-propofol">Statement on Safe Use of Propofol</a> (Amended October 23, 2024)</li> <li><a href="/standards-and-practice-parameters/statement-on-safety-culture">Statement on Safety Culture</a> </li> <li><a href="/standards-and-practice-parameters/statement-on-sedation--anesthesia-administration-in-dental-officebased-settings">Statement on Sedation and Anesthesia Administration in Dental Office Based Settings</a> </li> <li><a href="/standards-and-practice-parameters/statement-on-smoking-cessation">Statement on Smoking Cessation</a> </li> <li><a href="/standards-and-practice-parameters/statement-on-standard-practice-for-avoidance-of-medication-errors-in-neuraxial-anesthesia">Statement on Standard Practice for Avoidance of Medication Errors in Neuraxial Anesthesia</a></li> <li><a href="/standards-and-practice-parameters/statement-on-support-of-in-vitro-fertilization">Statement on Support of In Vitro Fertilization</a> (<strong><em>New!</em></strong> October 23, 2024)</li> <li><a href="/standards-and-practice-parameters/statement-on-surgical-attire">Statement on Surgical Attire</a></li> <li><a href="/standards-and-practice-parameters/statement-on-title-misappropriation">Statement on Title Misappropriation</a> (<em><strong>New!</strong></em> October 23, 2024)</li> <li><a href="/standards-and-practice-parameters/statement-on-the-aging-anesthesiologist">Statement on the Aging Anesthesiologist</a> </li> <li><a href="/standards-and-practice-parameters/statement-on-the-anesthesia-care-team">Statement on the Anesthesia Care Team</a></li> <li><a href="/standards-and-practice-parameters/statement-on-the-ethical-considerations-with-drug-shortages">Statement on the Ethical Considerations with Drug Shortages</a></li> <li><a href="/standards-and-practice-parameters/statement-on-the-interoperability-of-medical-devices">Statement on the Interoperability of Medical Devices</a> </li> <li><a href="/standards-and-practice-parameters/statement-on-the-practice-of-pediatric-pain-medicine">Statement on the Practice of Pediatric Pain Medicine</a> </li> <li><a href="/standards-and-practice-parameters/statement-on-the-regulation-of-the-practice-of-medicine-by-third-party-payors">Statement on the Regulation of the Practice of Medicine by Third-Party Payors</a> </li> <li><a href="/standards-and-practice-parameters/statement-on-the-regulation-of-the-practice-of-medicine-by-third-party-payors"></a><a href="/standards-and-practice-parameters/statement-on-the-role-of-anesthesiologists-in-the-practice-of-adult-critical-care-medicine">Statement on the Role of Anesthesiologists in the Practice of Adult Critical Care Medicine</a> </li> <li><a href="/standards-and-practice-parameters/statement-on-the-role-of-registered-nurses-in-the-management-of-continuous-regional-analgesia">Statement on the Role of Registered Nurses in the Management of Continuous Regional Analgesia</a></li> <li><a href="/standards-and-practice-parameters/statement-on-the-use-of-adjuvant-medications-and-management-of-intraoperative-pain-during-cesarean-delivery">Statement on the Use of Adjuvant Medications and Management of Intraoperative Pain During Cesarean Delivery</a> (<strong><em>New!</em></strong> October 23, 2024)</li> <li><a href="/standards-and-practice-parameters/statement-on-the-use-of-low-gas-flows-for-sevoflurane">Statement on the Use of Low Gas Flows for Sevoflurane</a> </li> <li><a href="/standards-and-practice-parameters/statement-on-transesophageal-echocardiography">Statement on Transesophageal Echocardiography</a>  </li> <li><a href="/standards-and-practice-parameters/statement-on-respiratory-care-practitioner-credentialing">Statement on Respiratory Care Practitioner Credentialing</a></li> <li><a href="/standards-and-practice-parameters/statement-on-the-medical-necessity-of-anesthesiology-services">Statement on the Medical Necessity of Anesthesiology Services</a></li> </ul> <p style="font-size: 14px; line-height: 22px; padding: 8px 8px 16px 8px; text-align: left; background-color: #fff; color: #000; text-transform: uppercase;"><a href="#top" style="color: #4c4b4b; text-decoration:none;border:none;background-color:transparent;font-weight:700;letter-spacing:1px;">Back to top <em class="fa fa-angle-up"></em></a></p> </div> <div class="rt-container external-links"> <div id="consensus" style="margin-bottom:12px; padding-top:12px;"> </div> <h3 style="margin-bottom:12px; margin-top:12px;">Expert Consensus Documents<span style="margin-left: 4px; vertical-align: middle;" class="get-info" data-toggle="tooltip" data-html="true" data-placement="bottom" title="Provides guidance, information, or recommendations based on the collective expertise and consensus of ASA leadership. Expert Consensus Documents are approved by the ASA House of Delegates."></span></h3>  <ul> <li><a href="/standards-and-practice-parameters/statement-on-asa-physical-status-classification-system">Statement on ASA Physical Status Classification System</a></li> <li><a href="/standards-and-practice-parameters/statement-on-continuum-of-depth-of-sedation-definition-of-general-anesthesia-and-levels-of-sedation-analgesia">Statement on Continuum of Depth of Sedation: Definition of General Anesthesia and Levels of Sedation/Analgesia</a> (Amended October 23, 2024)</li> <li><a href="/standards-and-practice-parameters/statement-on-definition-of-immediately-available-when-medically-directing">Statement on Definition of "Immediately Available" When Medically Directing</a> (Amended October 23, 2024)</li> <li><a href="/standards-and-practice-parameters/statement-on-ethical-guidelines-for-the-anesthesia-care-of-patients-with-do-not-resuscitate-orders">Statement on Ethical Guidelines for the Anesthesia Care of Patients with Do-Not-Resuscitate Orders</a></li> <li><a href="/standards-and-practice-parameters/statement-on-ambulatory-anesthesia-and-surgery">Statement on Ambulatory Anesthesia and Surgery</a> </li> <li><a href="/standards-and-practice-parameters/statement-on-delineation-of-clinical-privileges-in-anesthesiology">Statement on Delineation of Clinical Privileges in Anesthesiology</a></li> <li><a href="/standards-and-practice-parameters/statement-on-director-of-liver-transplant-anesthesia">Statement on Director of Liver Transplant Anesthesia</a> (Reaffirmed October 23, 2024)</li> <li><a href="/standards-and-practice-parameters/guidelines-for-the-ethical-practice-of-anesthesiology">Guidelines for the Ethical Practice of Anesthesiology</a></li> <li><a href="/standards-and-practice-parameters/statement-on-expert-witness-qualifications-and-testimony">Statement on Expert Witness Qualifications and Testimony</a></li> <li><a href="/standards-and-practice-parameters/statement-on-increasing-relevancy-and-sustainability-of-anesthesiology-critical-care-an-expert-consensus">Statement on Increasing Relevancy and Sustainability of Anesthesiology Critical Care: An Expert Consensus</a></li> <li><a href="/standards-and-practice-parameters/statement-on-minimally-acceptable-continuing-medical-education-in-anesthesiology">Statement on Minimally Acceptable Continuing Medical Education in Anesthesiology</a></li> <li><a href="/standards-and-practice-parameters/statement-on-office-based-anesthesia">Statement on Office-Based Anesthesia</a> (Amended October 23, 2024)</li> <li><a href="/standards-and-practice-parameters/statement-on-neuraxial-anesthesia-in-obstetrics">Statement on Neuraxial Analgesia or Anesthesia in Obstetrics</a> </li> <li><a href="/standards-and-practice-parameters/statement-on-patient-care-in-anesthesiology">Statement on Patient Care in Anesthesiology</a></li> <li><a href="/standards-and-practice-parameters/statement-on-the-management-of-performance-measures-by-the-american-society-of-anesthesiologists">Statement on the Management of Performance Measures by the American Society of Anesthesiologists</a></li> <li><a href="/standards-and-practice-parameters/statement-on-nonobstetric-surgery-during-pregnancy">Statement on Nonobstetric Surgery During Pregnancy</a></li> <li><a href="/standards-and-practice-parameters/statement-on-optimal-goals-for-anesthesia-care-in-obstetrics">Statement on Optimal Goals for Anesthesia Care in Obstetrics</a></li> <li><a href="/standards-and-practice-parameters/statement-on-principles-for-quality-incentive-programs-in-anesthesiology">Statement on Principles for Quality Incentive Programs in Anesthesiology</a></li> </ul> <p>Please contact <a href="/cdn-cgi/l/email-protection#5334263a37363f3a3d3620133220323b227d3c2134"><span class="__cf_email__" data-cfemail="b2d5c7dbd6d7dedbdcd7c1f2d3c1d3dac39cddc0d5">[email protected]</span></a> with any questions.</p> <p style="font-size: 14px; line-height: 22px; padding: 8px 8px 16px 8px; text-align: left; background-color: #fff; color: #000; text-transform: uppercase;"><a href="#top" style="color: #4c4b4b; text-decoration:none;border:none;background-color:transparent;font-weight:700;letter-spacing:1px;">Back to top <em class="fa fa-angle-up"></em></a></p> </div> <div class="rt-container external-links"> <h3 id="covid" style="margin-bottom: 12px;">COVID-19 Position Statements and Guidance</h3> <p style="margin-bottom:12px; margin-top:20px;"><a href="/in-the-spotlight/coronavirus-covid-19-information">Find ASA COVID-19 statements, recommendations and resources</a> in response to the pandemic.</p> <div id="comm" style="margin-bottom:12px; padding-top:12px;"> </div> <h3 style="margin-bottom: 12px;margin-top:12px;">Resources from Committees<span style="margin-left: 4px; vertical-align: middle;" class="get-info" data-toggle="tooltip" data-html="true" data-placement="bottom" title="Resources (work products) from ASA committees cover a wide array of clinical and non-clinical topics. 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