Guidelines to the Practice of Anesthesia – Revised Edition 2022

Response to: No community left behind: advancing rural anesthesia, surgery, and obstetric care in Canada

“…In these communities, appropriately trained family physicians may be required to provide anesthesia service.'' 4 Further, the CAS Guidelines indicate that ''In communities with the clinical volume to support full-time anesthesiologists, fellowship-certified anesthesiologists should provide these services.'' 4 As with many areas of medicine where scope of practice overlaps, there are wedge issues between nonspecialty GPA/FPA and specialty-trained anesthesia providers, and this has resulted in limited membership of this group of anesthesia providers in the CAS.…”

Special Announcement: Guidelines to the Practice of Anesthesia—Revised Edition 2023

“…Globalement, le Guide est tre `s lu et fre ´quemment cite ´au moment ou j'e ´cris, la version en ligne de l'e ´dition re ´vise ´e 2022 du Guide avait e ´te ´te ´le ´charge ´e 910 fois et cite ´e huit fois. 2 Je tiens a `rappeler aux lecteurs du Journal que les lignes directrices de pratique clinique comportent des recommandations qui sont synthe ´tise ´es a `partir d'une e ´valuation me ´thodique de la litte ´rature disponible. 3 Toutefois, lorsque les donne ´es probantes de qualite ´font de ´faut, ces lignes directrices se fondent alors sur une part d'opinion d'experts ou de consensus du comite ´.…”

“…Overall, the Guidelines are widely read and frequently cited; for example, at the time of writing, the online version of the 2022 Revised Edition had been downloaded 910 times and cited eight times. 2 I wish to remind Journal readers that clinical practice guidelines contain recommendations that are synthesized from systematic appraisal of the available literature. 3 These recommendations do, however, require an element of expert opinion or committee consensus where high quality evidence may be lacking.…”

Strategies for optimal perioperative outcomes in gastric cancer

“…Initially, this is an investigative process that informs the care provided by surgeons and anaesthetists, and aims to minimise perioperative complications and costs‐of‐care, whilst improving patients' functional recovery 15 . Patients' medical history, anaesthetic and surgical history, medications, allergies, and family history are reviewed, a physical examination is performed, and clinical and/or laboratory investigations are requested as indicated 16 . Following this information‐gathering process, physicians are provided with a window of opportunity to optimise the patient's health status before surgery, and consensus guidelines for enhanced recovery after surgery (ERAS) for gastrectomy 17 are available to aid this process.…”