P RACTICE Guidelines are systematically developed rec-ommendations that assist the practitioner and patient in making decisions about health care. These recommenda-tions may be adopted, modified, or rejected according to clinical needs and constraints and are not intended to replace local institutional policies. In addition, Practice Guidelines de-veloped by the American Society of Anesthesiologists (ASA) are not intended as standards or absolute requirements, and their use cannot guarantee any specific outcome. Practice Guidelines are subject to revision as warranted by the evolution of medical knowledge, technology, and practice. They provide basic rec-ommendations that are supported by a synthesis and analysis of the current literature, expert and practitioner opinion, open fo-rum commentary, and clinical feasibility data.
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