# Update vs AnestICU Quick Reference

The clearest difference is in-app purchases: Update at none against AnestICU Quick Reference's 2. AnestICU Quick Reference's advantage is update cadence (every 10 days vs monthly). On price, ads, device support and iOS requirement there is nothing between them.

Both are free to download. AnestICU Quick Reference sells 2 in-app purchases, starting at $2.99 per month. Update asks for nothing beyond the download.

Update ships an update monthly, AnestICU Quick Reference every 10 days. The most recent releases landed on October 9, 2026 and October 31, 2026 respectively.

## The numbers

| Metric | Update | AnestICU Quick Reference |
| --- | --- | --- |
| Price | Free | Free |
| Positive reviews | — | 100.0% of reviews |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | Monthly | **Every 10 days** |
| Monetization | — | Free with in-app purchases |
| Size | 40 MB | 39 MB |
| Requires iOS | **15.1** | 16.6 |
| Devices | iPhone, iPod | iPhone, iPad |
| Age rating | 17+ | 17+ |
| Developer | [Grupo Update](https://appshunter.io/developer/1583086676) | [Luis Henrique Martins Goncalves](https://appshunter.io/developer/6787523255) |

## What reviewers say

### Update

[App page](https://appshunter.io/ios/app/update-anestesiologia/id1583086674)

**Features:** macOS Compatibility

**In-app purchases:** none


### AnestICU Quick Reference

[App page](https://appshunter.io/ios/app/anesticu-quick-reference/id6787523253)

A quick reference platform for anesthesiologists, intensivists, and emergency physicians. It provides protocols, calculators, drug doses, and clinical tools, functioning entirely offline for rapid access during patient care.

**Highlights:** Anesthesiology and intensive care protocols, Integrated clinical calculators, Arterial blood gas interpretation, Continuous infusions (BIC), Anesthetic and vasoactive drug doses, Mechanical ventilation, Hemodynamic management

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases (2)**

| Purchase | Price | Billing |
| --- | --- | --- |
| AnestICU Premium Mensal | $2.99 | per month |
| AnestICU | $29.99 | per year |


## Frequently asked questions

### Is Update free?

Update is free to download, with no in-app purchases.

### Is AnestICU Quick Reference free?

AnestICU Quick Reference is free to download, with in-app purchases available.

### Do Update or AnestICU Quick Reference have ads?

Neither Update nor AnestICU Quick Reference shows ads.

### Which is updated more often, Update or AnestICU Quick Reference?

Update ships an update monthly, and AnestICU Quick Reference every 10 days. Most recently, Update was updated on October 9, 2026 and AnestICU Quick Reference on October 31, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*