According to the American Society of Anesthesiologists, anesthesiologists provide or participate in more than 90 percent of the 40 million anesthetics delivered in the USA annually. Anesthesiologists are highly specialized physicians certified by the American Board of Anesthesiology or by the American Osteopathic Board of Anesthesiology only after completion of many years of extensive and specialized training. The goal of this training is to provide every patient with a physician capable of managing the most complicated and difficult of medical and surgical situations with life saving skills and decision-making capacities.