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Can J Anesth/J Can Anesth (2013)

Guidelines to the Practice of Anesthesia*

Revised Edition 2013

Appendix 4Guidelines, Standards and Other Official Statements Available on the Internet

The Canadian Anesthesiologists Society (CAS) does not have the resources to publish

guidelines or standards on all possible topics, and members are therefore responsible for their

own professional assessment to ensure quality of anesthesia care and patient safety is

appropriately considered in managing individual patients. Other organizations may haveguidelines to assist the Canadian anesthesiologist in such a decision process. The following non-

exhaustive list of websites is provided solely for the convenience of CAS members. The CAS is

not responsible for the accuracy, currency, or reliability of the content. The CAS does not offerany guarantee in this regard and is not responsible for the information found through these links,

nor does it necessarily endorse the sites or their content. This list is updated periodically asprinted. It was verified for accuracy on May 27

th, 2013.

1. The American Society of Anesthesiologists1.1. http://www.asahq.org/publicationsAndServices/sgstoc.htm

1.1.1. UPDATED Regional Anesthesia, Statement on (2012)1.1.2. UPDATED Comparing Anesthesiologist Assistant and Nurse Anesthetist

Education and Practice, Statement (2012)

1.1.3. UPDATED Security of Medications in the Operating Room, Statement on(2012)

1.1.4. UPDATED Granting Privileges to Non-Anesthesiologist Physicians forPersonally Administering or Supervising Deep Sedation, Statement on (2012)

1.1.5. NEW Definition of Immediately Available When Medically Directing (2012)1.1.6. Ambulatory Anesthesia and Surgery, Guidelines for (2008)1.1.7. Anesthetic Care During Interventional Pain Procedures for Adults, Statement on

(2010)

1.1.8. Anesthesia Care Team, The (2009)1.1.9. Anesthesia Consultation Program (2008)1.1.10. ASA Statement Comparing Anesthesiologist Assistant and Nurse Anesthetist

Education (2007)1.1.11. Avoidance of Medication Errors in Neuraxial Anesthesia, Statement on Standard

Practice for (2010)

1.1.12. Basic Anesthetic Monitoring, Standards for (2011)1.1.13. Clinical Privileges in Anesthesiology, Guidelines for Delineation of (2008)1.1.14. Conflict of Interest, Statement on (2008)1.1.15. Continuing Medical Education in Anesthesiology, Guidelines for Minimally

Acceptable (2011)

----------------------------

* Please use the following citation:Merchant R, Chartrand D, Dain S, et al.Guidelines to the Practice ofAnesthesia Revised Edition 2013. Can J Anesth 2013; 60: 60-84.

Copyright 2012, Canadian Journal of Anesthesia

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1.1.16. Continuum of Depth of Sedation: Definition of General Anesthesia and Levels of

Sedation/Analgesia (2009)

1.1.17. Critical Care and Trauma Medical Services, Statement of Principles (2011)1.1.18. Critical Care by Anesthesiologists, Guidelines for the Practice of (2009)1.1.19. Distinguishing Monitored Anesthesia Care from Moderate Sedation/Analgesia

(Conscious Sedation) (2009)

1.1.20. Documentation of Anesthesia Care (2008)1.1.21. Economic Credentialing, Statement on (2008)1.1.22. End-of-Life Care, Statement on Quality of (2008)1.1.23. Ethical Guidelines for the Anesthesia Care of Patients with Do-Not-Resuscitate

Orders or Other Directives that Limit Treatment (2008)

1.1.24. Ethical Practice of Anesthesiology, Guidelines for the (2011)1.1.25. Expert Witness Qualifications and Testimony, Guidelines for (2008)1.1.26. Granting Privileges for Administration of Moderate Sedation to Practitioners who

are not Anesthesia Professionals, Statement on (2011)

1.1.27. Granting Privileges for Deep Sedation to Non-Anesthesiologist SedationPractitioners. Advisory on (2010)

1.1.28. Infection Prevention and Control Instruments for Tracheal Intubation, Statementon Standard Practice for (2010)1.1.29. Interoperability of Medical Devices, Statement on (2008)1.1.30. Intravascular Catheterization Procedures, Statement on (2008)1.1.31. Labeling Pharmaceuticals for use in Anesthesiology, Statement on ( 2009)1.1.32. Liver Transplant Anesthesia, Guidelines for Director of (2009)1.1.33. Management of performance measures by the American Society of

Anesthesiologists, Guiding Principles for (2011)

1.1.34. Monitored Anesthesia Care, Position on (2008)1.1.35.Nonobstetric Surgery During Pregnancy, Statement on (2009)1.1.36.Nonoperating Room Anesthetizing Locations, Statement on (2008)1.1.37. Obstetrics, Guidelines for Neuraxial Anesthesia in (2010)1.1.38. Obstetrics, Optimal Goals for Anesthesia Care in (2010)1.1.39. Office-Based Anesthesia, Guidelines for (2009)1.1.40. Organization of an Anesthesia Department, The (2008)1.1.41. Pain Relief During Labor, Statement on (2010)1.1.42. Patient Care in Anesthesiology, Guidelines for (2011)1.1.43. Physician Nonparticipation in Legally Authorized Executions, Statement on

(2011)

1.1.44. Postanesthesia Care Standards for (2009)1.1.45. Practice Parameters, Policy Statement on (2008)1.1.46. Practice Recommendations for Pediatric Anesthesia, Statement on (2011)1.1.47. Preanesthesia Care, Basic Standards for (2010)1.1.48. Qualifications of Anesthesia Providers in the Office-Based Setting, Statement on

(2009)

1.1.49. Quality Incentive Programs in Anesthesiology, Principles for (2011)1.1.50. Regional Anesthesia, Statement on (2007)1.1.51. Reporting Postoperative Pain Procedures in Conjunction with Anesthesia (2010)1.1.52. Respiratory Care Practitioner Credentialing, Statement Regarding (2008)1.1.53. Respiratory Monitoring During Endoscopic Procedures, Statement on (2009)1.1.54. Respiratory Therapists, (RTs) Statement of Support for (2008)

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1.1.55. Role of Registered Nurses in the Management of Continuous Regional Analgesia,

Statement on (2008)

1.1.56. Routine Preoperative Laboratory and Diagnostic Screening, Statement on (2008)1.1.57. Safe Use of Propofol, Statement on (2009)1.1.58. Smoking Cessation, Statement on (2008)1.1.59. Supporting a Members Right to Practice, Protocol for (2008)1.1.60. Surgical Care Improvement Project, Statement on (2010)1.1.61. Transesophageal Echocardiography, Statement on (2009)1.2. http://www.asahq.org/publicationsAndServices/practiceparam.htm1.2.1. Practice Guidelines for Central Venous Access (2012)1.2.2. Practice Guidelines for Sedation and Analgesia by Non-Anesthesiologists (2002)1.2.3. Practice Advisory on Anesthetic Care for Magnetic Resonance Imaging (2009)1.2.4. Practice Advisory for Intraoperative Awareness and Brain Function Monitoring

(2006)1.2.5. Practice Advisory for the Perioperative Management of Patients with Cardiac

Rhythm Management Devices: Pacemakers and Implantable Cardioverter-

Defibrillators (2010)1.2.6. Practice Advisory for Perioperative Visual Loss Associated with Spine Surgery

(2012)1.2.7. UPDATED - Practice Advisory for the Prevention and Management of Operating

Room Fires (2013)

1.2.8. Practice Advisory for the Prevention, Diagnosis, and Management of InfectiousComplications Associated with Neuraxial Techniques (2010)

1.2.9. Practice Advisory for the Prevention of Perioperative Peripheral Neuropathies(2010)

1.2.10. Practice Advisory for Preanesthesia Evaluation (2011)1.2.11. Practice Alert for the Perioperative Management of Patients with Coronary Artery

Stents (2009)

1.2.12. Practice Guidelines for Acute Pain Management in the Perioperative Setting(2011)

1.2.13. Practice Guidelines for Perioperative Blood Transfusion and Adjuvant Therapies(2006)

1.2.14. Practice Guidelines for Cancer Pain Management (1996)1.2.15. Practice Guidelines for Chronic Pain Management (2010)1.2.16. UPDATED - Practice Guidelines for Management of the Difficult Airway (2013)1.2.17. Practice Guidelines for Obstetric Anesthesia (2006)1.2.18. Practice Guidelines for the Perioperative Management of Patients with

Obstructive Sleep Apnea (2006)

1.2.19. Practice Guidelines for Perioperative Transesophageal Echocardiography (2010)1.2.20. Practice Guidelines for Preoperative Fasting (2010)1.2.21. Practice Guidelines for the Prevention, Detection and Management of RespiratoryDepression Associated with Neuraxial Opioid Administration (2009)1.2.22. Practice Guidelines for Pulmonary Artery Catheterization (2003)1.2.23. UPDATED - Practice Guidelines for Postanesthetic Care (2013)

2. American Society of Regional Anesthesia and Pain Medicine2.1. http://asra.com/publications.php

2.1.1. Consensus Statements2.1.2. ASRA Practice Guideline on Local Anesthetic Systemic Toxicity 20102.1.3. Evidence Based Review of Ultrasound Guided Regional Anesthesia 2010

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2.1.4. Anticoagulation 3rdEdition 20102.1.5. Ultrasound Guided Regional Anesthesia 20092.1.6. Neurologic Complications 20082.1.7. Infectious Complications 2004

3. Association of Paediatric Anaesthetists of Great Britain and Ireland3.1. http://www.apagbi.org.uk

3.1.1. Publications / APA Guidelines3.1.2. Good Practice in Postoperative and Procedural Pain Management, 2ndedition(2012)

3.1.3. Paediatric Difficult Airway Guidelines (2012)3.1.4. Guidelines on the Prevention of Postoperative Vomiting in Children (2009)3.1.5. APA Consensus Guideline on Perioperative Fluid Management in Children

(August 2007)3.1.6. Immunisation Guideline: The Timing of Vaccination with Respect to Anaesthesia

and Surgery

3.1.7. APA Guidance on the Use of Safety Cannulae (2013)3.1.8. Interim Advice from APA Council on Paracetamol and Codeine Use (2013)3.1.9. Resuscitation Training for Non-Training Grade Anaesthetists (the APA hasdeveloped recommendations for resuscitation training for non-training grade

anaesthetists. This is recognised as a valid method of maintaining paediatric

resuscitation knowledge and skills for the purposes of annual appraisal, June

2010).

3.1.10. Good Practice in Postoperative and Procedural Pain (2008)3.1.11. Appendix to Good Practice in Postoperative and Procedural Pain (APA, 2008)

4. The Royal College of Anesthetists4.1 http://www.rcoa.ac.uk

4.1.1. Clinical Standards Quality / Clinical Standards Publications4.1.2. Anaesthesia Services in Remote Sites4.1.3. Best Practice in the Management of Epidural Analgesia in the Hospital Setting4.1.4. Cardiopulmonary Resuscitation: Standards for Clinical Practice and Training

Child Protection and the Anaesthetist: Safeguarding Children in the Operating

Theatre4.1.5. Classification of Urgency of Caesarean Section A Continuum of Risk4.1.6. Female Admissions (ages 16-50 years) to Adult, General Critical Care Units in

England, Wales and Northern Ireland, reported as currently pregnant or

recently pregnant4.1.7. Guidance on the Provision of Anaesthesia Services for Acute Pain Management4.1.8. Guidance on the Provision of Anaesthesia Services for Chronic Pain Management4.1.9. The Good Anaesthetist )4.1.10. The Good Practice Guide4.1.11. Guidance for Anaesthetists on Cardiac Arrest Teams4.1.12. Guidance for the Use of Propofol Sedation for Adult Patients Undergoing

Endoscopic Retrograde Cholangiopancreatography (ERCP) and Other Complex

Upper GI Endoscopic Procedures

4.1.13. Guidance on the Provision of Anaesthetic Services (several documents)4.1.14. Guidance on the Provision of Paediatric Anaesthetic Services4.1.15. Guidelines for Continuing Professional Development (updated April 2012)

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4.1.16. Guidelines for the Management of Children Referred for Dental Extractions

Under General Anaesthesia (2012)

4.1.17. Implementing and Ensuring Safe Sedation Practice for Healthcare Procedures inAdults

4.1.18. Information Management: Guidance for Anaesthetists4.1.19. Primary and Final FRCA Examinations Regulations (updated March 2012)4.1.20. Raising the Standard: Information for Patients (2003)4.1.21. Role of Non-Medical Staff in the Delivery of Anaesthesia Services4.1.22. Safeguarding Children and Young People: Roles and Competences for Health

Care Staff4.1.23. Safer Childbirth: Minimum Standards for the Organisation and Delivery of Care

in Labour

4.1.24. Standards for Conscious Sedation in Dentistry: Alternative Techniques4.1.25. Syringe Labelling in Critical Care Areas4.1.26. The Acutely or Critically Sick or Injured Child in the District General Hospital4.1.27. Tonsillectomy and Adenoidectomy in Children with Sleep Related Breathing

Disorders4.1.28. Ultrasound in Anaesthesia and Intensive Care: a Guide to Training

5. The Obstetric Anaesthetists Association5.1. http://www.oaa-anaes.ac.uk/content.asp?ContentID=95

5.1.1. Guidelines for Obstetric Anaesthesia Services (2005)5.1.2. Guidelines for Obstetric Anaesthesia Research (2001)

5.2. http://www.oaa-anaes.ac.uk/content.asp?ContentID=1155.2.1. Leaflet in many languages about Pain Relief in Labour (3rdedition)

6. Le Collge Franais des Anesthsistes Ranimateurs (CFAR)6.1. http://www.cfar.org/

7. Socit Franaise dAnesthsie et de Ranimation (French Society of Anesthesia andIntensive Care)7.1 http://www.sfar.org

Standards and guidelines in the French language

8. The Scandinavian Society of Anaesthesiology and Intensive Care Medicine8.1. http://ssai.info/guidelines/

8.1.1. Scandinavian Clinical Practice Guidelines on General Anaesthesia for EmergencySituations (2010)

8.1.2. Scandinavian Clinical Practice Guidelines on the Diagnosis, Management andFollow-up of Anaphylaxis During Anaesthesia (2007)

8.1.3. Nordic Guidelines for Neuraxial Blocks in Disturbed Haemostasis from theScandinavian Society of Anaesthesiology and Intensive Care (2010)8.1.4. Scandinavian Clinical Practice Guidelines for Therapeutic Hypothermia and Post-

Resuscitation Care After Cardiac Arrest (2009)

8.1.5. Pre-Hospital Airway Management: Guidelines from a Task Force from theScandinavian Society for Anaesthesiology and Intensive Care Medicine (2008)

8.1.6. Pre-Operative Fasting Guidelines: an Update (2005)9. European Union of Medical Specialists (About Us / Library / Policy Documents)

9.1.1. http://www.uems.net/

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9.1.2. Charter on Specialist Training (1993)9.1.3. Charter on Continuing Medical Education (1994)9.1.4. Charter on Quality Assurance in Specialist Practice in the EU (1996)9.1.5. Charter on the Visitation of Training Centres (1997)9.1.6. Charter on Continuing Professional Development - Basel Declaration (2001)9.1.7. Declaration on Promoting Good Medical Care (2004)9.1.8. Ensuring the Quality of Medical Care - Budapest Declaration (2006)9.1.9. Policy Statement on Assessments during Postgraduate Medical Training (2006)9.1.10. UEMS Strategy (2008)

10.American College of Cardiology (Science & Quality/Guidelines & Quality Standards)10.1. http://www.acc.org/qualityandscience/clinical/statements.htm

Many standards on cardiac assessment and care, including:

10.1.1. Perioperative Cardiovascular Evaluation and Care for Noncardiac Surgery:Guidelines for (2009)

10.1.2. Hypertrophic cardiomyopathy: Guideline for the Diagnosis and Treatment of(2011)

10.1.3. Coronary Artery Bypass Graft Surgery: Guideline for (2011)10.1.4. Percutaneous Coronary Intervention: Guideline for (2011)10.1.5. Guidelines for the Management of Patients with Unstable Angina/Non-ST-

Elevation Myocardial (2012)

11.American College of CHEST Physicians11.1. http://www.chestnet.org/accp/Guidelines

11.1.1. Approximately 20 guidelines on mostly medical issues, notably:11.1.2.Antithrombotic Therapy and the Prevention of Thrombosis, 9th edition: American

College of Chest Physicians Evidence-Based Guidelines (February 2012)

12.American Thoracic Society12.1. http://www.thoracic.org/statements/index.php12.1.1. Approximately 125 guidelines related to respiratory medicine and thoracic

surgery, notably:

12.1.2. ATS/ERS Standardization of Lung Function Testing: General Considerations forLung Function Testing (2005)

12.1.3. ATS/ACCP Statement: Cardiopulmonary Exercise Testing (2003)13.American College of Physicians

13.1. http://www.acponline.org/clinical_information/guidelines/current/#acg13.1.1. A variety of medical guidelines, including:13.1.2. Diagnosis and Management of Stable Chronic Obstructive Pulmonary Disease: A

Clinical Practice Guideline Update from the American College of Physicians,American College of Chest Physicians, American Thoracic Society, and EuropeanRespiratory Society (2011)

13.1.3. Diagnosis and Treatment of Low Back Pain: A Joint Clinical Practice Guidelinefrom the American College of Physicians and the American Pain Society (2007)

13.1.4. Risk Assessment for and Strategies To Reduce Perioperative PulmonaryComplications for Patients Undergoing Noncardiothoracic Surgery (2006)

13.1.5. Preoperative Pulmonary Risk Stratification for Noncardiothoracic Surgery(evidence review) (2006)

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13.1.6. Strategies To Reduce Postoperative Pulmonary Complications after

Noncardiothoracic Surgery (evidence review) (2006)

14.National Institute for Health and Clinical Excellence14.1. www.nice.org.uk/

14.1.1. Published clinical guidelines, mostly medical, including:14.1.2. Prophylaxis against infective endocarditis Antimicrobial prophylaxis against

infective endocarditis in adults and children undergoing interventional procedures(2008)

14.1.3. Perioperative hypothermia (inadvertent) (2008)15.Scottish Intercollegiate Guidelines Network

15.1. www.sign.ac.uk/guidelines/published/index.html16.The Canadian Medical Protective Association

16.1. www.cmpa-acpm.ca17.The Society of Obstetricians and Gynaecologists of Canada

17.1. http://www.sogc.org/guidelines/index_e.asp17.1.1. Clinical practice guidelines18.Intensive Care Society (UK)

18.1. http://www.ics.ac.uk/professional/standards_safety_quality/a__f18.1.1 Multiple guidelines including:18.1.2 British Consensus Guidelines on Intravenous Fluid Therapy for Adult Surgical

Patients (GIFTASUP) (2008)

19.University of Florida, Department of Anesthesiology, Center for Safety, Simulation andAdvanced Learning Technology.

19.1. http://vam.anest.ufl.edu/guidelines.html19.1.1. Anesthesia Machine Pre-Use Check Guidelines20.McMaster University - Canadian Guideline for Safe and Effective Use of Opioids for

Chronic Non-Cancer Pain: http://nationalpaincentre.mcmaster.ca/opioid/

20.1. Canadian guideline for safe and effective use of Opioids for Chronic Non-Cancer Pain Part A: Executive Summary and Background. Version 4.5, April 30 2010.

20.2. Canadian Guideline for Safe and Effective use of Opioids for Chronic Non-Cancer Pain Part B: Recommendations for Practice. Version 5.5, April 30, 2010.

21. NHS Improvement (UK)

21.1 http://www.improvement.nhs.uk/enhancedrecovery/NHS website on with a great number of resources for improvement of patient care:"Featuring project management, measurement and knowledge exchange tools, the

NHS Improvement System provides a comprehensive, online improvement resource."

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Other Resources

22. National Guideline Clearinghouse

22.1 www.guideline.gov22.1.1 An online repository of guidelines from many organizations. Currently contains

2,509 individual guideline summaries (May 2013)

23. Stirling, Dale A. Biomedical Organizations: a Worldwide Guide to Position Documents.New York: Routledge, 2006. Available from URL:

http://www.biblio.com/books/340707331.html23.1 A textbook survey of hundreds of global medical organizations and their position

statements at your fingertips. This comprehensive reference not only analyzes and

discusses the history and characteristics of the creation and development of the

organizational position statement, but also lists medical organizations and theirWeb site addresses, and presents an alphabetical index of their position

statements. Indexed according to subject as well as by organization.