# MGH Clinical Anesthesia vs ShockRef

The clearest difference is rating: ShockRef at 5.0 against MGH Clinical Anesthesia's 4.5. ShockRef also leads on in-app purchases (none vs 2) and update cadence (every 4 days vs every 8 months). MGH Clinical Anesthesia's advantage is iOS requirement (15.0 vs 26.0). On price, ratings volume, ads and device support there is nothing between them.

Both are free to download. MGH Clinical Anesthesia sells 2 one-off in-app purchases. ShockRef asks for nothing beyond the download.

ShockRef holds the better App Store score, 5.0 against 4.5. Both are backed by a comparable volume of ratings — 22 and 8 respectively.

MGH Clinical Anesthesia ships an update every 8 months, ShockRef every 4 days. The most recent releases landed on October 22, 2026 and October 24, 2026 respectively.

## The numbers

| Metric | MGH Clinical Anesthesia | ShockRef |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.5 (22 ratings)](https://appshunter.io/ios/app/mgh-clinical-anesthesia/id1604246152/reviews) | **[5.0 (8 ratings)](https://appshunter.io/ios/app/shockref/id6793122630/reviews)** |
| Number of ratings | **22** | 8 |
| In-app purchases | Yes | **No** |
| Ads | No | No |
| Update frequency | Every 8 months | **Every 4 days** |
| Monetization | Free with in-app purchases | **Free** |
| Size | 9 MB | 15 MB |
| Requires iOS | **15.0** | 26.0 |
| Devices | **iPhone, iPad, iPod** | iPhone, iPad |
| Age rating | 17+ | 17+ |
| Developer | [Unbound Medicine, Inc.](https://appshunter.io/developer/300420400) | [Rishi Kumar](https://appshunter.io/developer/1434016052) |

## What reviewers say

### MGH Clinical Anesthesia

[App page](https://appshunter.io/ios/app/mgh-clinical-anesthesia/id1604246152)

Provides trusted clinical anesthesia guidelines for preoperative, intraoperative, and postoperative patient care. Features concise recommendations, drug references, and advanced search for quick access to essential information.

**Highlights:** Comprehensive anesthesia administration guidelines, Perioperative care, critical care, and pain management fundamentals, Anesthetic drug quick reference, Advanced search functionality, Bookmarking and note-taking features, Detailed images, tables, and charts

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

**In-app purchases (2)**

| Purchase | Price | Billing |
| --- | --- | --- |
| MGH Clinical Anesthesia | $54.99 | one-time |
| MGH Clinical Anesthesia | $59.99 | one-time |


### ShockRef

[App page](https://appshunter.io/ios/app/shockref/id6793122630)

A clinical reference for managing shock and hemodynamics, offering insights into bedside physiology, resuscitation, and mechanical circulatory support. It includes practical calculators and drug references for critical care professionals and students.

**Highlights:** Shock phenotyping, Resuscitation workflows, Vasoactive drug references, Mechanical circulatory support troubleshooting, Physiology-based critical care, Practical calculators

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

**In-app purchases:** none


## Frequently asked questions

### Is MGH Clinical Anesthesia free?

MGH Clinical Anesthesia is free to download, with in-app purchases available.

### Is ShockRef free?

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

### Which has better reviews, MGH Clinical Anesthesia or ShockRef?

ShockRef is rated higher. MGH Clinical Anesthesia averages 4.5 out of 5 from 22 ratings, while ShockRef averages 5.0 from 8 ratings.

### Do MGH Clinical Anesthesia or ShockRef have ads?

Neither MGH Clinical Anesthesia nor ShockRef shows ads.

### Which is updated more often, MGH Clinical Anesthesia or ShockRef?

MGH Clinical Anesthesia ships an update every 8 months, and ShockRef every 4 days. Most recently, MGH Clinical Anesthesia was updated on October 22, 2026 and ShockRef on October 24, 2026.

---

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