Introduction —
This topic includes links to society and government-sponsored guidelines from selected countries and regions around the world. We will update these links periodically; newer versions of some guidelines may be available on each society's website. Some societies may require users to log in to access their guidelines.
The recommendations in the following guidelines may vary from those that appear in UpToDate topic reviews. Readers who are looking for UpToDate topic reviews should use the UpToDate search box to find the relevant content.
Links to related guidelines are provided separately:
●(See "Society guideline links: Preoperative fasting".)
●(See "Society guideline links: Perioperative cardiovascular evaluation and management".)
●(See "Society guideline links: Preoperative evaluation and perioperative management of patients with rheumatic diseases".)
●(See "Society guideline links: Perioperative management of patients taking glucagon-like peptide-1 receptor agonists (GLP-1 RAs)".)
International
●American Heart Association (AHA)/American College of Cardiology (ACC)/American College of Surgeons (ACS)/American Society of Nuclear Cardiology (ASNC)/Heart Rhythm Society (HRS)/Society of Cardiovascular Anesthesiologists (SCA)/Society of Cardiovascular Computed Tomography (SCCT)/Society for Cardiovascular Magnetic Resonance (SCMR)/Society for Vascular Medicine (SVM): Guideline for perioperative cardiovascular management for noncardiac surgery (2024)
Canada
●Canadian Anesthesiologists' Society (CAS): Guidelines to the practice of anesthesia, revised edition (2025)
●Choosing Wisely Canada: Don't perform resting echocardiography as part of preoperative assessment for asymptomatic patients undergoing low to intermediate-risk non-cardiac surgery (2024)
●Choosing Wisely Canada: Don't routinely perform preoperative testing (such as chest X-rays, echocardiograms, or cardiac stress tests) for patients undergoing low risk surgeries (2024)
●Choosing Wisely Canada: Avoid routine preoperative laboratory testing for low risk surgeries without a clinical indication (2022)
●Canadian Cardiovascular Society (CCS): Guidelines on perioperative cardiac risk assessment and management for patients who undergo noncardiac surgery (2017)
United States
●American Society of Anesthesiologists (ASA): Practice advisory for perioperative care of older adults scheduled for inpatient surgery (2025)
●American Heart Association (AHA)/American College of Cardiology (ACC)/American College of Surgeons (ACS)/American Society of Nuclear Cardiology (ASNC)/Heart Rhythm Society (HRS)/Society of Cardiovascular Anesthesiologists (SCA)/Society of Cardiovascular Computed Tomography (SCCT)/Society for Cardiovascular Magnetic Resonance (SCMR)/Society for Vascular Medicine (SVM): Guideline for perioperative cardiovascular management for noncardiac surgery (2024)
●Society for Ambulatory Anesthesia (SAMBA): Updated consensus statement on perioperative blood glucose management in adult patients with diabetes mellitus undergoing ambulatory surgery (2024)
●American Academy of Pediatrics (AAP): Policy statement on critical elements for the pediatric perioperative anesthesia environment (2015, reaffirmed 2023)
●American Society of Regional Anesthesia and Pain Medicine (ASRA): Consensus guidelines on the management of the perioperative patient on cannabis and cannabinoids (2023)
●AHA: A scientific statement on perioperative considerations for pediatric patients with congenital heart disease presenting for noncardiac procedures (2022)
●AAP: Policy statement on the pediatrician's role in the evaluation and preparation of pediatric patients undergoing anesthesia (2014, reaffirmed 2021)
●SAMBA: Position statement on preoperative care for cataract surgery (2021)
●ASA: Basic standards for preanesthesia care (2020)
●American Geriatrics Society (AGS): Optimal perioperative management of the geriatric patient (2015)
●ASA: Practice guidelines for perioperative blood management – An updated report (2015)
●ASA: Practice guidelines for the perioperative management of patients with obstructive sleep apnea – An updated report (2014)
●American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP)/AGS: Best practices guidelines on the optimal preoperative assessment of the geriatric surgical patient (2013)
Europe
●European Society of Anaesthesiology and Intensive Care (ESAIC): Updated guidelines on preoperative assessment of adults undergoing elective noncardiac surgery (2025)
●ESAIC: Focused guideline for the use of cardiac biomarkers in perioperative risk evaluation (2023)
●ESAIC: Guidelines for management of severe peri-operative bleeding, 2022 second update (published 2023)
●European Society of Cardiology (ESC): Guidelines on cardiovascular assessment and management of patients undergoing non cardiac surgery (2022)
United Kingdom
●British Society for Haematology (BSH): Guidelines on identification and management of preoperative anaemia in adults, update (2024)
●National Institute for Health and Care Excellence (NICE): Guideline on perioperative care in adults (2020)
●Association of Anaesthetists and British Association of Day Surgery (BADS): Guidelines for day-case surgery (2019)
●NICE: Guideline on routine preoperative tests for elective surgery (2016)
●Association of Anaesthetists of Great Britain and Ireland (AAGBI): Safety guideline on pre-operative assessment and patient preparation – The role of the anaesthetist (2010)
Australia–New Zealand
●Australian and New Zealand College of Anaesthetists (ANZCA): Guidelines on pre-anaesthesia consultation and patient preparation (2024)
●ANZCA: Standards for perioperative medicine (2023)
●Choosing Wisely Australia: Avoid initiating anaesthesia for patients with significant co-morbidities without adequate, timely preoperative assessment and postoperative facilities to meet their needs (2017)
●Choosing Wisely Australia: Avoid routinely performing preoperative blood investigations, chest x-ray, or spirometry prior to surgery, but instead order in response to patient factors, symptoms and signs, disease, or planned surgery (2017)
Japan
●[In Japanese] Japanese Circulation Society (JCS): Guideline on perioperative cardiovascular assessment and management for non-cardiac surgery, 2022 (updated 2023)
●[In English] JCS: Guideline on perioperative cardiovascular assessment and management for non-cardiac surgery, 2022 (published 2023)
●[In Japanese] Choosing Wisely Japan: Preoperative echocardiography – When it is necessary and when it is not (2016)
●[In Japanese] Choosing Wisely Japan: Preoperative examination – When they are needed and when they are not (2016)
●[In Japanese] Choosing Wisely Japan: Preoperative testing – When is testing necessary and when is it not necessary? (2016)
●[In Japanese] Choosing Wisely Japan: Preoperative testing in cardiac surgery – When it is necessary and when it is not (2016)
