References and key sources
This site is educational. Guidance varies between countries and institutions. Your clinical team’s local policy applies. Items below are selected high-yield sources rather than an exhaustive bibliography.
ASA physical status and perioperative risk
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StatPearls/NCBI Bookshelf. American Society of Anesthesiologists Physical Status Classification System. (Accessed 23 Dec 2025.)
ncbi.nlm.nih.gov/books/NBK441940/ -
Cleveland Clinic. ASA Physical Status Classification System (includes ASA VI description). (Accessed 23 Dec 2025.)
my.clevelandclinic.org
Procedure-specific risk prediction
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American College of Surgeons. ACS NSQIP Surgical Risk Calculator. (Accessed 23 Dec 2025.)
riskcalculator.facs.org -
ACS Risk Calculator “About” page (predictors and outputs). (Accessed 23 Dec 2025.)
riskcalculator.facs.org/RiskCalculator/about.html
Airway and difficult intubation
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Frerk C, Mitchell VS, McNarry AF, et al. Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults. Br J Anaesth. 2015.
pubmed.ncbi.nlm.nih.gov/26556848/ -
Difficult Airway Society (DAS). Guidelines hub. (Accessed 23 Dec 2025.)
das.uk.com/guidelines/
Perioperative anaphylaxis
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Royal College of Anaesthetists National Audit Projects (NAP6). Perioperative anaphylaxis: summary of main findings (antibiotics and NMBAs as commonest triggers). (Accessed 23 Dec 2025.)
nationalauditprojects.org.uk -
Dewachter P, Mouton-Faivre C, Hepner DL. Perioperative anaphylaxis: pathophysiology, clinical presentation and management. 2019 (open access review). (Accessed 23 Dec 2025.)
pmc.ncbi.nlm.nih.gov
Awareness under general anaesthesia
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RCoA National Audit Project (NAP5). Accidental Awareness during General Anaesthesia (AAGA). (Accessed 23 Dec 2025.)
rcoa.ac.uk -
Bischoff P, Rundshagen I. Awareness under general anesthesia. 2011 (open access review). (Accessed 23 Dec 2025.)
pmc.ncbi.nlm.nih.gov
Selected medication-related perioperative guidance
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U.S. FDA Drug Safety Communication (updated labeling). SGLT2 inhibitors and perioperative ketoacidosis risk; stop 3 days prior (4 for ertugliflozin). (Accessed 23 Dec 2025.)
fda.gov -
American Society of Anesthesiologists (ASA). Multi-society GLP-1 guidance news release (Oct 2024). (Accessed 23 Dec 2025.)
asahq.org -
ASA (Consensus-based guidance, 2023). GLP-1 receptor agonists and aspiration risk considerations. (Accessed 23 Dec 2025.)
PDF copy -
ASRA Pain Medicine. Guidelines hub (including neuraxial/regional anesthesia and antithrombotic therapy). (Accessed 23 Dec 2025.)
asra.com/guidelines-articles/guidelines
Environmental impact of anesthetic agents
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ASA. Environmental impact of inhaled anesthetics (GWP and mitigation concepts). (Accessed 23 Dec 2025.)
asahq.org (inhaled anesthetics) -
Sherman J, et al. Life cycle greenhouse gas emissions of anesthetic drugs. Anesth Analg. 2012.
pubmed.ncbi.nlm.nih.gov/22492186/
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