PRACTICE guidelines are systematically developed recommendationsThis document updates the Practice Guidelines for the Prevention, that assist the practitioner and patient in making decisions about healthDetection and Management of Respiratory Depression Associated with care. These recommendations may be adopted, modified, or rejectedNeuraxial Opioid Administration adopted by ASA in 2007, and includes according to clinical needs and constraints, and are not intended tonew survey data and recommendations pertaining to monitoring for replace local institutional policies. In addition, practice guidelinesrespiratory depression. developed 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 recommendations that are supported by a synthesis and analysis of the current literature, expert and practitioner opinion, open forum commentary, and clinical feasibility data.