Special announcement: Guidelines to the Practice of Anesthesia—Revised Edition 2019

Abstract

This issue of the Journal features the 2019 revised edition of the Guidelines to the Practice of Anesthesia 1 as developed and annually updated by the Canadian Anesthesiologists' Society (CAS) Committee on Standards, and approved by the CAS Board of Directors. The CAS has endorsed Guidelines since their initial development in 1974 (and publication in 1977), and the Journal has published yearly updates since 2009. They are widely recognized as a valuable clinical resource for anesthesia practitioners both nationally and internationally. Indeed, they are frequently downloaded as free web content and regularly cited in other peer-reviewed articles.The Committee on Standards welcomes questions, comments, and constructive criticism on this Guidelines document. Any queries and their related responses to them are available on the CAS website. Indeed, this present editorial commentary should be considered an invitation to any anesthesiologist, allied health professional, or healthcare administrator to report their questions or comments to the Committee on Standards (standards@cas).In view of the comprehensive and lengthy nature of the Guidelines document, this editorial serves to draw readers' attention to some of the specific topics updated in this new version. It also provides commentary about other issues undergoing further consideration for publication in future versions of the Guidelines.Appendices to the Guidelines, position papers, and other guideline documents are regularly reviewed by the committee and updated as required. To coincide with the

Impact of preoperative carbohydrate loading on postoperative course and morbidity in debulking surgery for epithelial ovarian cancer

“…Following these results, a paradigm shift has occurred in the timing and administration of preoperative solids and liquids over the last decade. The major anesthesiology societies have started to recommend clear liquids up to 2 h and solids up to 6 h before anesthesia ( 6 , 7 ). Although these recommendations would prevent dehydration, they are still insufficient in minimizing perioperative catabolic stress response.…”