Professional documents Our professional documents, statements and guidelines are crucial for promoting the safety and quality of patient care for those undergoing anaesthesia for surgical and other procedures and for those receiving pain medicine treatment. These documents contain information relevant to the clinical, administrative and professional practice of perioperative care including anaesthesia, and pain medicine. Please see the sections below for ANZCA Professional Documents and Endorsed external documents. The higher level Standards for Anaesthesia and accompanying Background Paper are intended to apply to all those in clinical practice within the specialty of anaesthesia wherever anaesthesia services are provided. The aim is for these standards to be used as benchmarks to foster quality in patient care as well as to facilitate quality improvement. The framework for writing or revising professional documents is described in CP23 Policy for professional document framework and accompanying Background Paper. The professional document process is governed by CP24 Policy for development and review of professional documents and accompanying Background Paper. The external guideline endorsement process is governed by CP25 Policy on endorsement of externally developed guidelines and accompanying Background Paper. The FPM professional document process is governed by PP01(PM): Policy for the development and review of professional documents. Note: CP23 and CP24 are in pilot (ends November). Professional documents in PILOT are operational and may be altered before the final version is promulgated. Printed copies are noted to be accurate at the time of printing only. Feedback on professional documents during the PILOT phase is welcome and encouraged. If you have any comments or queries regarding professional documents please email us. Professional documents Policies (denoted CP) are documents that formally state a principle, plan and/or course of action that is prescriptive and mandatory. Position statements (denoted PS) are documents that describe where the college stands on a particular issue. This may include areas that lack clarity or where opinions vary. A position statement is not definitive, prescriptive or binding. Guidelines (denoted PG) are documents that offer advice on a particular subject, that: Are ideally based on best practice recommendations and information. May be based on available evidence and/or expert consensus. Are not prescriptive. Select Document Download Type Download all professional documents (zip file) ZIP CP01 Listing of standard abbreviations and definitions for professional documents (PILOT) PDF PS01(PM): Statement regarding the use of opioid analgesics in patients with chronic non-cancer pain PDF PS01(PM) (Appendix): Opioid Dose Equivalence Calculation Table PDF PS02(A) Position statement on credentialling and defining the scope of clinical practice in anaesthesia 2020 PDF PS02(A)BP Position statement on credentialling and defining the scope of clinical practice in anaesthesia Background Paper 2020 PDF PG03(A) Guideline for the management of major regional analgesia 2014 PDF PG03(A)BP Guideline for the management of major regional analgesia Background Paper 2014 PDF PS04(A) Position statement on the post-anaesthesia care unit 2020 PDF PS04(A)BP Position statement on the post-anaesthesia care unit Background Paper 2020 PDF PG06(A) Guideline on the anaesthesia record 2020 PDF PG06(A)BP Guideline on the anaesthesia record Background Paper 2020 PDF PG07 Guideline on pre-anaesthesia consultation and patient preparation 2024 PDF PG07BP Guideline on pre-anaesthesia consultation and patient preparation Background Paper 2024 PDF PS08(A) Position statement on the assistant for the anaesthetist 2016 PDF PS08(A)BP Position statement on the assistant for the anaesthetist Background Paper 2016 PDF PG09(G) Guideline on procedural sedation 2023 PDF PG09(G)BP Guideline on procedural sedation Background Paper 2023 PDF PS10(PM) Statement on "Medicinal Cannabis" with particular reference to its use in the management of patients with chronic non-cancer pain PDF PS10(PM) BP Statement on "Medicinal Cannabis" with particular reference to its use in the management of patients with chronic non-cancer pain Background paper PDF PS11(PM): Procedures in Pain Medicine Clinical Care Standard PDF PS12(PM) Position statement on the use of ketamine in the management of chronic non-cancer pain PDF PS12(PM) BP Position statement on the use of ketamine in the management of chronic non-cancer pain Background paper PDF PG13(PM) Guideline on return to pain medicine practice for specialist pain medicine physicians 2023 PDF PG13 (PM)BP Guideline on return to pain medicine practice for specialist pain medicine physicians 2023 Background paper PDF PS14(PM) Statement on the responsibility for co-prescription of oral and intrathecal opioids 2023 PDF PG15(POM) Guideline for the perioperative care of patients selected for day stay procedures 2018 PDF PG15(POM)BP Guideline for the perioperative care of patients selected for day stay procedures Background Paper 2018 PDF PS15(PM) Statement on the clinical approach to persistent pelvic pain including endometriosis-associated pain 2024 (PILOT) PDF PS15(PM) BP Statement on the clinical approach to persistent pelvic pain including endometriosis-associated pain Background paper 2024 (PILOT) PDF PG18(A) Guideline on monitoring during anaesthesia 2017 PDF PG18(A)BP Guideline on monitoring during anaesthesia Background Paper 2017 PDF PS19(A) Position statement on monitored care by an anaesthetist 2006 PDF PS26(A) Position statement on informed consent for anaesthesia or sedation 2021 PDF PS26(A)BP Position statement on informed consent for anaesthesia or sedation Background Paper 2021 PDF PG27(A) Guideline for major extracorporeal perfusion 2015 PDF PG27(A)BP Guideline for major extracorporeal perfusion Background Paper 2015 PDF PG28(A) Guideline on infection control in anaesthesia 2015 PDF PG28(A)BP Guideline on infection control in anaesthesia Background Paper 2015 PDF PG29(A) Guideline for the provision of anaesthesia care to children 2020 PDF PG29(A)BP Guideline for the provision of anaesthesia care to children Background Paper 2020 PDF PG31(A) Guideline on checking anaesthesia delivery systems 2014 PDF PG31(A)BP Guideline on checking anaesthesia delivery systems Background Paper 2014 PDF PS40(G) Position statement on the relationship between fellows, trainees and the healthcare industry 2012 PDF PS40(G)BP Position statement on the relationship between fellows, trainees and the healthcare industry Background Paper 2012 PDF PS41(G) Position statement on acute pain management 2023 PDF PS41(G)BP Position statement on acute pain management Background Paper 2023 PDF PS42(A) Position statement on staffing of accredited departments of anaesthesia 2017 PDF PS42(A)BP Position statement on staffing of accredited departments of anaesthesia Background Paper 2017 PDF PG43(A) Guideline on fatigue risk management in anaesthesia practice 2020 PDF PG43(A)BP Guideline on fatigue risk management in anaesthesia practice Background Paper 2020 PDF PS45(G) Position statement on patients' rights to pain management and associated responsibilities 2010 PDF PG46(POM) Guideline on training and practice of perioperative cardiac ultrasound in adults 2014 PDF PG46(POM)BP Guideline on training and practice of perioperative cardiac ultrasound in adults Background Paper 2014 PDF PG49(G) Guideline on the health of specialists, specialist international medical graduates and trainees 2022 PDF PG49(G)BP Guideline on the health of specialists, specialist international medical graduates and trainees Background Paper 2022 PDF PG50(A) Guideline on return to anaesthesia practice for anaesthetists 2017 PDF PG50(A)BP Guideline on return to anaesthesia practice for anaesthetists Background Paper 2017 PDF PG51(A) Guideline for the safe management and use of medications in anaesthesia 2021 PDF PG51(A)BP Guideline for the safe management and use of medications in anaesthesia Background Paper 2021 PDF PG52 Guideline for transport of critically ill patients 2024 (PILOT) PDF PG52BP Guideline for transport of critically ill patients Background Paper 2024 (PILOT) PDF PS53(A) Position statement on the handover responsibilities of the anaesthetist 2013 PDF PS53(A)BP Position statement on the handover responsibilities of the anaesthetist Background Paper 2013 PDF PS54(A) Position statement on the minimum safety requirements for anaesthesia machines and workstations for clinical practice 2021 PDF PS54(A)BP Position statement on the minimum safety requirements for anaesthesia machines and workstations for clinical practice Background Paper 2021 PDF PS55(A) Position statement on minimum facilities for safe administration of anaesthesia in operating suites and other anaesthetising locations 2021 (Appendix 3 2024 - PILOT) PDF PS55(A)BP Position statement on minimum facilities for safe administration of anaesthesia in operating suites and other anaesthetising locations Background Paper 2021 PDF PG56(A) Guideline on equipment to manage difficult airways 2021 PDF PG56(A)BP Guideline on equipment to manage difficult airways Background Paper 2021 PDF PS57(A) Position statement on duties of specialist anaesthetists 2014 PDF PS57(A)BP Position statement on duties of specialist anaesthetists Background Paper 2014 PDF PG58(A) Guideline on quality assurance and quality improvement in anaesthesia 2018 PDF PG58(A)BP Guideline on quality assurance and quality improvement in anaesthesia Background Paper 2018 PDF PS59(A) Position statement on roles in anaesthesia and perioperative care 2015 PDF PS59(A)BP Position statement on roles in anaesthesia and perioperative care Background Paper 2015 PDF PG60(POM) Guideline on the perioperative management of patients with suspected or proven hypersensitivity to chlorhexidine 2016 PDF PG60(POM)BP Guideline on the perioperative management of patients with suspected or proven hypersensitivity to chlorhexidine Background Paper 2016 PDF PG61(A) Guideline for the management of evolving airway obstruction: transition to the Can’t Intubate Can’t Oxygenate airway emergency 2017 PDF PG61(A)BP Guideline for the management of evolving airway obstruction: transition to the Can’t Intubate Can’t Oxygenate airway emergency Background Paper 2017 PDF PS62 Position statement on cultural competence and cultural safety 2024 PDF PS62BP Position statement on cultural competence and cultural safety Background Paper 2024 PDF PG63(A) Guideline for safe care for patients sedated in health care facilities for acute behavioural disturbance 2019 PDF PG63(A)BP Guideline for safe care for patients sedated in health care facilities for acute behavioural disturbance Background Paper 2019 PDF PS64(G) Position statement on environmental sustainability in anaesthesia and pain medicine practice 2019 PDF PS64(G)BP Position statement on environmental sustainability in anaesthesia and pain medicine practice Background Paper 2019 PDF PG65(G) Guideline for the performance assessment of a peer 2020 PDF PG65(G)BP Guideline for the performance assessment of a peer Background Paper 2020 PDF PG66(A) Guideline on the role of the anaesthetist in commissioning medical gas pipelines 2021 PDF PG66(A)BP Guideline on the role of the anaesthetist in commissioning medical gas pipelines Background Paper 2021 PDF PG67(G) Guideline for the care of patients at the end-of-life who are considered for surgery or interventional procedures 2022 PDF PG67(G)BP Guideline for the care of patients at the end-of-life who are considered for surgery or interventional procedures Background Paper 2022 PDF PG68(A) Guideline on surgical patient safety for SARS-CoV-2 infection and vaccination PDF Download selected The following professional documents have been withdrawn: PS01 Recommendations on essential training for rural general practitioners in Australia proposing to administer anaesthesia. PG12(POM) Guideline on smoking as related to the perioperative period. PG37(A) Guideline for health practitioners administering local anaesthesia. PS38 Statement relating to the relief of pain and suffering and end of life decisions. PS44 Guidelines to fellows acting on appointments committees for senior staff in anaesthesia. Other college documents These statements undergo a deliberative process within the college committee structure and require approval by the oversight committee, or the ANZCA Council, prior to publication. Select Document Download Type Anaesthesia and cognitive decline in adults PDF ANZCA Diversity, Equity, and Inclusion (DEI) background paper PDF ANZCA Position statement on diversity, equity, and inclusion PDF ANZCA statement on desflurane PDF GP Anaesthetists in metropolitan centres PDF Position statement - Health of People Seeking Asylum PDF Position statement on procedures in pain medicine PDF Promoting good practice and managing poor performance in anaesthesia and pain medicine PDF Statement on the role of ANZCA in advocating for the health and wellbeing of all people PDF Supporting professionalism and performance – A guide for anaesthetists and pain medicine physicians (2024) PDF Use of “off label” or drugs beyond licence in pain medicine PDF Download selected Endorsed guidelines and joint statements We have contributed to or endorsed a selection of guidelines and statements developed by other organisations. Guidelines developed by external organisations on aspects of the practice of anaesthesia, perioperative medicine and/or pain medicine that have been formally endorsed by the ANZCA Council are listed below. FPM policies, standards, position statements and guidelines that have been endorsed by the FPM Board are listed below. Acute Anaphylaxis Clinical Care Standard Developed by the Australian Commission on Safety and Quality in Healthcare and endorsed by ANZCA. Note: this Standard covers management of anaphylaxis outside the operating theatre or intensive care unit (ICU). For management of anaphylaxis inside theatre or ICU, please refer to ANZAAG Anaphylaxis Management Guidelines. Advisory statement on the storage of propofol in clinical settings Jointly developed with the Health Quality and Safety Commission New Zealand and the Ministry of Health. Antimicrobial Stewardship Clinical Care Standard Developed by the Australian Commission on Safety and Quality in Healthcare and endorsed by ANZCA. ANZAAG and ANZCA Perioperative Anaphylaxis Management Guideline Management and diagnosis cards jointly developed with ANZCA. Guideline | Background Paper | Adult Immediate | Paediatric Immediate | Adult Refractory | Paediatric Refractory | Differential Diagnosis | Post Crisis Management Australian open disclosure framework Developed by the Australian Commission on Safety and Quality in Health Care. Best practice guide for continuous practice improvement Developed by the Council of Medical Colleges of New Zealand. Call for Australia's ratification of the OPCAT Supported by ANZCA. Central line insertion and maintenance guideline Developed by the Australian and New Zealand Intensive Care Society. Colonoscopy clinical care standard Developed by the Australian Commission on Safety and Quality in Health Care. Under review in 2024, new edition TBA. Delirium clinical care standard Developed by the Australian Commission on Safety and Quality in Health Care. Epidural anaesthesia Joint statement by the ANZCA President Dr Vanessa Beavis and RANZCOG President Dr Vijay Roach. Factsheet: Identification of neural route medicines, fluids and lines Developed by the Australian Commission on Safety and Quality in Health Care. Guideline for providers of liposuction (Victoria) Developed by the Victorian Department of Health. Guidelines for the management of postoperative nausea and vomiting Developed by the Society for Ambulatory Anesthesia. A joint statement supporting user-applied labelling standardisation for all injectable medicines and fluids Joint statement of ANZCA and the Australian Commission on Safety and Quality in Health Care. Low back pain clinical care standard Developed by the Australian Commission on Safety and Quality in Health Care, and endorsed by the Faculty of Pain Medicine. Malignant hyperthermia resource kit Developed by Malignant Hyperthermia Australia and New Zealand. Management of Peripheral Intravenous Catheters Clinical Care Standard Developed by the Australian Commission on Safety and Quality in Health Care. National standard for user-applied labelling of injectable medicines, fluids and lines Developed by the Australian Commission on Safety and Quality in Health Care. Neural connector devices to reduce misconnection errors – advice for every anaesthetist and pain medicine practitioner Developed by ANZCA. Neural connector devices to reduce misconnection errors – guidelines for implementation in Australia Jointly developed with the Australian Commission on Safety and Quality in Health Care. OSSIE guide to clinical handover improvement Developed by the Australian Commission on Safety and Quality in Health Care. Osteoarthritis of the knee clinical care standard Developed by the Australian Commission on Safety and Quality in Health Care. Patient blood management guidelines Developed by the National Blood Authority. Perioperative anaphylaxis management guidelines Jointly developed with the Australian and New Zealand Anaesthetic Allergy Group. Perioperative Diabetes and Hyperglycaemia Guidelines (Adults) Jointly developed with the Australian Diabetes Association. Periprocedural Diabetic Ketoacidosis (DKA) with SGLT2 Inhibitor Use in People with Diabetes Jointly developed with the Australian Diabetes Association. Periprocedural GLP-1 use consensus - clinical guide ANZCA, along with peak diabetes, obesity and gastroenterological bodies, has produced clinical practice recommendations for patients using GLP-1/GIP receptor agonists. Position paper on day surgery in Australia Jointly developed with the Royal Australasian College of Surgeons and the Australian Society of Plastic Surgeons. Reusable surgical gowns position statement Developed by the Royal Australasian College of Surgeons. Sepsis Clinical Care Standard Developed by the Australian Commission on Safety and Quality in Health Care. Standards for resuscitation: clinical practice and education Jointly developed by the Australian Resuscitation Council and the New Zealand Resuscitation Council. Position statement on the provision of obstetric anaesthesia and analgesia services Jointly developed with Royal Australian and New Zealand College of Obstetricians and Gynaecologists. Trauma Verification Program Model Resource Criteria Developed by the Royal Australasian College of Surgeons Trauma Verification Committee. Topical application of chlorhexidine and risks of accidental injection in regional anaesthesia and vascular access procedures Jointly developed with the Australian Commission on Safety and Quality in Health Care. Archived documents Select Document Download Type Marriage equality statement (2017) PDF ANZCA COVID-19 PPE Statement (2020) PDF ANZCA Council and the FPM Board support an Aboriginal and Torres Strait Islander Voice to Parliament (2023) PDF Download selected