ASRA Coags

The ASRA COAGS app has been updated with a universal code base and a fresh new look. This

subscription-based app is $6.99/annually or free with ASRA Pain Medicine membership. The app

transforms the American Society of Regional Anesthesia and Pain Medicine anticoagulation guidelines

for Regional Anesthesia and Interventional Pain Procedures into a quick and easy reference for your

practice. It provides rapid access to drug-specific summary information.

This version combines the most current recommendations from two separate publications:

1. The 2025 guidelines “Regional anesthesia in the patient receiving antithrombotic or

thrombolytic therapy: American Society of Regional Anesthesia and Pain Medicine Evidence-

Based Guidelines (Fifth Edition)” published in Regional Anesthesia & Pain Medicine.

2. The 2018 Interventional Pain guidelines from the publication “Interventional Spine and Pain

Procedures in Patients on Antiplatelet and Anticoagulant Medications (Second Edition);

Guidelines From the American Society of Regional Anesthesia and Pain Medicine, the European

Society of Regional Anaesthesia and Pain Therapy, the American Academy of Pain Medicine, the

International Neuromodulation Society, the North American Neuromodulation Society, and the

World Institute of Pain” published in Regional Anesthesia & Pain Medicine.

The app provides direct access to both the regional guidelines and the pain guidelines, also allowing you

to choose a default and focus on your specific practice area.

Regional Guidelines:

1. Search for drugs by brand name or generic name.

2. Get recommendations based on the block type (e.g. neuraxial, peripheral, obstetric) and the

intervention type (e.g. placing a block or removing a catheter).

3. Access more detailed information by using the Information "i" button:

a. Mechanism of action for each drug.

b. Executive summary for each drug.

c. The full 2025 ASRA Pain Medicine regional guideline document.

Pain Guidelines:

1. Search for drugs by brand name or generic name. Or start your search by procedure.

2. Get recommendations for:

a. High, intermediate, and low risk procedures.

b. Modifiers for patients at higher bleeding risk.

c. Herbal medications.

d. Antidepressant medications.

e. When to restart medications after a procedure.

3. Access more detailed information for any drug by using the Information "i" button:

a. Mechanism of action for each drug.

b. Executive summary for each drug.

c. The full 2018 ASRA Pain Medicine interventional pain guideline document.

Members of ASRA Pain Medicine receive all society apps for free with their membership. To learn more

or to join, visit asra.com/membership. Non-members have access to the content with a low-cost annual

subscription.