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ASA practice parameters comprise Standards, Practice Guidelines, Practice Advisories and Practice Alerts. These practice parameters, other than the Practice Alerts, are evidence-based and developed using a rigorous process that combines scientific and consensus-based evidence. The practice parameters provide guidance in the form of requirements, recommendations or other information to improve decision-making and promote quality outcomes for the practice of anesthesiology. The use of practice parameters cannot guarantee any specific outcome. Practice parameters are subject to periodic revision as warranted by the evolution of medical knowledge, technology and practice. Variance from practice parameters may be acceptable, based upon the judgment of the responsible anesthesiologist. All practice parameters are developed by the Committee on Standards and Practice Parameters, approved by the House of Delegates and published in Anesthesiology.
Many ASA committees develop statements and other expert consensus documents that represent the opinions, beliefs and medical judgments developed by the committee members. In addition to statements, expert consensus documents include policies, positions, principles, suggestions, and definitions to promote the practice of anesthesiology. These documents are not subject to the same scientific review as ASA Practice Parameters; however, committee-developed statements and other expert consensus documents are approved by the House of Delegates.
Each ASA member, institution or practice should decide what portion(s) of the statements and other expert consensus documents to implement, based on the medical judgement of anesthesiologists participating in that institution or practice.
Other medical specialty societies and related organizations occasionally request ASA to endorse or to support their clinical guidelines or position statements. All requests are reviewed by the Committee on Standards and Practice Parameters and a clinical Committee of the President’s choice and must be approved by the Administrative Council and Board of Directors.
Whose contributions allow the American Society of Anesthesiologists® to create world-class education and resources to improve patient care and outcomes.
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