This document provides guidelines for anaesthesia safety standards and pre-operative fasting. It outlines principles of anaesthesia care including constant monitoring of patients and designation of qualified staff. Intra-operative monitoring of vital signs, ventilation, oxygenation and temperature is recommended. Regional anaesthesia and monitored sedation also require standards and oversight. Pre-anaesthetic consultation and assessment of patients is important to optimize health status prior to surgery. Guidelines provide fasting timeframes for solids, liquids and breastmilk based on aspiration risk reduction. Rapid induction techniques and emergency equipment are advised to prevent aspiration complications during intubation.