The American Society of Anesthesiologists (ASA) has formally endorsed the SmartTots Consensus Statement, released December 14, 2012. The consensus statement now carries the endorsement of the International Anesthesia Research Society (IARS), US Food and Drug Administration (FDA), the American Academy of Pediatrics (AAP), the Society for Pediatric Anesthesia, the Society for Neuroscience in Anesthesia & Critical Care (SNACC) and European Society of Anesthesiology (ESA).