ABSTRACT
Anesthesiology is an intense discipline, which entails unexpected, often life threatening complications, requiring immediate recognition and prompt intervention. It is essential to have uniform standards of monitoring irrespective of location, duration and type of anesthesia. The Indian Society of Anesthesiologists (ISA) in 1998 started preparing guidelines suited for indian conditions and presented these in 1999. The 1999 ISA guidelines have outlived and there is an urgent need to update the currently applicable guidelines. These guidelines of ISA are under revision since April 2007. Keeping in view of developments in the field, medically complex patients, training methods of present day trainees and CPA needs, updated guidelines should include additional monitoring techniques and precautions.