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Questions, bugs, a case that didn’t read right: write in, and Leo, the anesthesiologist who built Anesto, answers.

Need help?

Email support@anesto.app and you’ll hear back within 24 hours.

Please include your device model, iOS version, and a description of the issue. You can also message Leo from the Account tab in the app.

Looking for how to do something in the app? The Help Center has it step by step. Have an idea? What’s next.

Frequently asked questions

What is Anesto?
An anesthesia case log for residents, fellows, attendings and CRNAs. Say or type a case the way you’d tell a colleague, and Anesto fills in the record. Residents and fellows track their ACGME minimums and send cases to ACGME; attendings and CRNAs keep a log ready for credentialing.
Does Anesto store patient information?
Anesto has no place for patient names, MRNs or birthdays, and asks you never to type or say them. A case is a procedure, an age range, an anesthetic and the like, not a person. Details are in the Privacy Policy.
Does Anesto keep what I type or dictate?
Yes. What you type or dictate is kept with your case, on your phone and in your own account, for up to 12 months, to improve how Anesto reads cases. After 12 months it is removed from Anesto’s cloud; the structured case record stays. To keep it on your phone only, turn off Case text under AI parsing in Account. Never enter patient names, MRNs, or dates of birth. Details are in the Privacy Policy.
How do I send my cases to ACGME?
Residents and cardiac fellows can send cases to their ACGME Case Log right from the iPhone app, for free. Tap Connect your ACGME account at the top of the Log tab and sign in on ACGME’s own page (Anesto never sees your password). Then tap Send: Anesto fills in ACGME’s form from your case, submits it, and checks your ACGME list to confirm it arrived. Anesto only adds cases; to change or delete one, do it on acgme.org. Anesto is not affiliated with ACGME.
Can I see my ACGME totals in Anesto?
Yes. Residents and cardiothoracic fellows: tap Get my ACGME totals on the Progress screen. Anesto reads your Minimums report on ACGME and shows ACGME’s numbers next to Anesto’s. Fellows also see them in the fellowship report. Anesto is not affiliated with or endorsed by the ACGME.
Does Anesto work for fellows?
For adult cardiothoracic anesthesiology fellows, yes. Choose Fellow as your provider type and pick your program and dates, and your cases count toward the ACGME fellowship minimums. You also get a TEE log, a fellowship report, and ACGME case and TEE submissions from your phone. Other fellowships aren’t supported yet. Like residents, fellows get everything free.
I’m a CRNA. Does Anesto fit how I practice?
Yes. Tell Anesto once whether you’re independent, medically directed or medically supervised, and every case carries it. Your most-logged procedures are one tap away. Logging is free; Pro adds the credentialing PDF, custom date ranges and practice event analytics.
How does the AI parsing work?
Only after you say yes, your words go through Anesto’s server to Anthropic’s Claude, which reads them with Anesto’s anesthesia-specific instructions. If you dictate, Groq turns your voice into text first. Anesto fills in the procedure, ASA class, anesthetic, airway, lines, blocks and more, and asks instead of guessing when it isn’t sure. Every field stays editable.
Can I turn the AI off?
Yes, anytime, in Account → Data & privacy. With AI parsing off, nothing you type or say is sent to an AI service, and you fill in each case yourself. Turning it back on shows you the full disclosure again first.
Is there an Android version?
No. Anesto is iPhone only for now.
What’s included in the free version?
The free tier includes unlimited AI parsing (voice and text), full case entry and editing, complete case history with search, hospital sites, automatic cloud backup, category breakdown stats, ACGME progress tracking, and CSV export. Pro adds PDF credentialing reports, the privileges report, custom date range filters, practice analytics, the blocks report, and your credentials with expiry reminders. Residents and fellows pay for nothing, including sending cases to ACGME, with no limit on how many cases you send.
How does the free trial work?
In the US and Canada, when you start Pro, you get a 7-day free trial with full access to all Pro features. You won’t be charged during the trial. If you don’t cancel before the trial ends, your subscription will begin at $6.99/month or $49.99/year depending on your selected plan. You can cancel anytime in your Apple Account subscription settings. Lifetime ($99.99, paid once) has no trial and never renews.
How do I cancel my subscription?
Open the Settings app on your iPhone → tap your name at the top → Subscriptions → Anesto → Cancel Subscription. You’ll keep Pro access until the end of your current billing period. Your cases are never deleted when you cancel.
Can I export my data?
Yes. Residents, attendings and CRNAs can export cases as CSV files for custom analysis; fellows export their fellowship report. Attendings and CRNAs with Pro can also export a credentialing PDF for the dates you choose, counted by facility. Your cases are always yours, and cancelling Pro doesn’t remove any of them.
What specialties does Anesto cover?
Anesto recognizes the surgical service, from cardiac to dentistry, and the ACGME’s anesthesia categories, such as cardiac with and without bypass, intrathoracic, vascular, obstetric, pediatric and pain. It understands standard anesthesia shorthand and abbreviations.
Is my data backed up?
Yes, automatically. Every account backs up your cases and hospital sites to encrypted cloud storage within seconds of logging. Get a new phone, sign in, and everything comes back. An occasional CSV export is still a good copy to keep for yourself.
I deleted a case by mistake. Can I get it back?
Yes. Tap Undo right after deleting, or bring it back from Recently deleted in Account → Data & privacy for 30 days.
How do I delete my account?
In the app, open Account → Data & privacy, tap Delete account, and type DELETE to confirm. Your account and all its cloud data are removed right away. You can also email support@anesto.app and it’s done for you within 30 days. Local data on your device can be removed by uninstalling the app.