Perioperative & Anesthesia Clinical Guidelines
Perioperative and anesthesia guideline index: the governing ASA, ERAS, ACC/AHA, ASRA, and Association of Anaesthetists guidelines, with edition and source.
The perioperative and anesthesia guideline index. This section is new, and the table below is its current content: the governing professional-society guidelines for the department, each with its publisher, current edition, scope, and a source link. The parent hub is Perioperative & Anesthesia.
Governing guidelines
| Guideline | Publisher | Edition | Scope | Source |
|---|---|---|---|---|
| Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration, with the 2023 modular update | American Society of Anesthesiologists | 2017; modular update 2023 | Fasting for healthy patients undergoing elective procedures; the 2023 module adds carbohydrate-containing clear liquids with or without protein, chewing gum, and pediatric fasting duration | PubMed |
| 2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway | American Society of Anesthesiologists with international airway societies | 2022 (replaces 2013) | Evaluation of the airway, development of a difficult airway strategy, awake airway management, oxygenation throughout, and extubation of the difficult airway | PubMed |
| Fifth Consensus Guidelines for the Management of Postoperative Nausea and Vomiting | American Society for Enhanced Recovery and Society for Ambulatory Anesthesia | 2025, fifth edition (supersedes 2020) | Identification of high-risk patients, reduction of baseline risk, prophylaxis, rescue treatment, and institutional PONV protocols, in adults and children | PubMed |
| Guidelines for Perioperative Care in Elective Colorectal Surgery: ERAS Society Recommendations 2025 | ERAS Society | 2025, fifth edition (replaces 2018) | Preoperative, intraoperative, and postoperative care elements for elective colorectal surgery, graded by GRADE | PubMed |
| Perioperative Care in Cardiac Surgery: A Joint Consensus Statement | ERAS Cardiac Society, ERAS Society, and The Society of Thoracic Surgeons | 2024 (updates 2019) | Enhanced recovery care elements for cardiac surgical procedures, including protective lung ventilation and ventilation on cardiopulmonary bypass | PubMed |
| 2024 AHA/ACC/ACS/ASNC/HRS/SCA/SCCT/SCMR/SVM Guideline for Perioperative Cardiovascular Management for Noncardiac Surgery | American College of Cardiology and American Heart Association | 2024 (supersedes 2014) | Perioperative cardiovascular evaluation and management of adults undergoing noncardiac surgery | Circulation |
| Association of Anaesthetists Guidelines: Safe Vascular Access 2025 | Association of Anaesthetists, with the Royal College of Anaesthetists, Intensive Care Society, NIVAS, and VASBI | 2025 | Vascular access teams and performance indicators, device selection, insertion including ultrasound and tip position, anticoagulation and catheter-related thrombosis, specific patient groups, and training | Association of Anaesthetists |
| Regional Anesthesia in the Patient Receiving Antithrombotic or Thrombolytic Therapy: ASRA Evidence-Based Guidelines | American Society of Regional Anesthesia and Pain Medicine | 2025, fifth edition (replaces 2018) | Neuraxial and peripheral regional anesthesia in patients receiving anticoagulant, antiplatelet, or thrombolytic drugs | PubMed |
| Standards for Basic Anesthetic Monitoring | American Society of Anesthesiologists | Approved 1986; last amended 2025 | Required monitoring of oxygenation, ventilation, circulation, and temperature during all anesthetics | ASA |
| Practice Guidelines for Central Venous Access 2020 | American Society of Anesthesiologists | 2020 (updates 2012) | Placement and management of central venous catheters, and reduction of infectious, mechanical, and thrombotic complications | PubMed |
| Practice Guidelines for Perioperative Blood Management | American Society of Anesthesiologists | 2015 (updates 2006) | Perioperative transfusion of blood and components, adjuvant therapies, techniques to reduce blood loss, and massive transfusion protocols | Anesthesiology |
| Practice Guidelines for Moderate Procedural Sedation and Analgesia 2018 | American Society of Anesthesiologists with AAOMS, ACR, ADA, ASDA, and SIR | 2018 | Moderate sedation by any provider: patient evaluation, monitoring, sedative and analgesic agents, and recovery | PubMed |
How the guideline series are built
Each guideline series on this site is a synthesis, not a summary of a single document. The relevant professional-society guidelines for a topic are read together and their recommendations integrated into one reference, and every substantive statement carries a numbered, DOI-linked citation back to its source. Long syntheses are split into sequential part pages so each part loads quickly and is individually citable. Every page carries a date (first published) and a lastmod (last substantive revision) in its metadata; when a source society issues a new edition, the affected series is revised and its lastmod advances. Each series is reviewed by a clinician before it publishes. The perioperative and anesthesia series are forthcoming and will be listed on this page and on the department hub as they publish.
Frequently asked questions
What is in the perioperative and anesthesia guidelines index?
The professional-society guidelines that govern anesthesia and perioperative practice: ASA practice guidelines and standards on preoperative fasting, difficult airway management, basic anesthetic monitoring, central venous access, perioperative blood management, and moderate procedural sedation; the PONV consensus guidelines; ERAS Society guidelines for colorectal and cardiac surgery; the ACC/AHA perioperative cardiovascular management guideline; the Association of Anaesthetists safe vascular access guidelines; and the ASRA antithrombotic guidelines for regional anesthesia. Each entry names the publisher and current edition and links to the source.
How will the perioperative guideline series be built?
In the same format as the site’s other departments: the relevant society guidelines for a topic are read together and integrated into one reference, every substantive statement carries a numbered DOI-linked citation, long syntheses are split into sequential part pages, each page carries a published date and a lastmod date, and each series is reviewed by a clinician before it publishes. The perioperative and anesthesia series are forthcoming.
Which editions were replaced in 2025?
Three documents in this index were superseded in 2025: the PONV consensus guidelines moved from the fourth edition of 2020 to the fifth, the ERAS Society colorectal guidelines moved from the 2018 edition to 2025, and the ASRA antithrombotic guidelines moved from the fourth edition of 2018 to the fifth. The ASA Standards for Basic Anesthetic Monitoring were also amended in 2025.
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