Your anesthesiologist takes several factors into account when recommending the type of anesthesia. Some of those factors include the type of surgery or non-operative procedure being performed and your medical history. These types of anesthesia are not always clearly defined, and patients may progress from one level of sedation/anesthesia to a lighter or deeper level during the procedure. For this reason, the American Society of Anesthesiologists (ASA) considers anesthesia a continuum, from light sedation to general anesthesia.


“Anesthesia Care Team”
Most anesthetics administered in Pennsylvania are provided using an “Anesthesia Care Team” model, with the anesthesiologist serving as the “director” of the anesthesia care team. Prior to surgery the anesthesiologist evaluates the patients’ current state of health and is responsible for designing the anesthesia plan taking into account the patient’s condition and the nature of the surgery.



  • Breaking News! PSA is on Facebook and Twitter!

    2/21/2014 2/21/14: The Pennsylvania Society of Anesthesiologists has created pages on Facebook and Twitter to keep you informed as fast-breaking events and news reports develop.

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  • Register Now!

    12/20/2013 12/20/13: PSA will co-host the Fourth Annual Ultrasound-Guided Regional Anesthesia Cadaver Course on May 17-18, 2014.

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  • House Prof. Licensure Comm. Votes Favorably on Physician Supervision

    11/12/2013 11/12/13: Log in and visit the "Current Issues" tab under "Insurance and Legislation" for a review of today's vote.

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  • Breaking News!

    8/29/2013 8/29/13: Be sure to log in and check the "Current Issues" tab under "Insurance and Legislation" for information on House Bill 1603 and for talking points on supervision of anesthesia care in hospitals.

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The choice of anesthetic or sedation is made by a physician taking into account various factors, including but not limited to the procedure being performed and the general medical condition of the patient. General anesthesia may be administered by an anesthesiologist, a nurse anesthetist under the direct supervision of a physician, preferably an anesthesiologist, or in some states by an anesthesiologist’s assistant under the direct supervision of an anesthesiologist. 

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The Anesthesiologist’s Expanding Role
The Centers for Medicare and Medicaid Services (CMS) released a January 2011 update to their Interpretive Guidelines for the Anesthesia Services Condition of Participation for Hospitals. As a result anesthesiologists have assumed a leadership role in developing and implementing medical staff rules and regulations (bylaws) that define the qualifications and supervision requirements for many “categories of practitioners”, such as those providers performing “Moderate Sedation”, “Deep Sedation” or obstetrical “analgesia” services. 

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