Vargo Anesthesia Mega App vs ASRA Coags

The Vargo Anesthesia Mega App is a comprehensive, clinician-built platform designed to support anesthesia providers in both preoperative preparation and real-time clinical decision-making. Developed and refined over more than 15 years, the app integrates essential anesthesia, critical care, and perioperative content into one unified system. Built for efficiency and clarity, the Mega App allows providers to quickly access high-value clinical information—whether preparing for a case, reviewing complex physiology, or managing time-sensitive situations in the operating room. The Vargo Anesthesia Mega App brings together a wide range of core anesthesia resources, including: Weight-Based Medication Dosing and Equipment Tables Adult and pediatric dosing and equipment references designed for accuracy across a wide range of patient sizes Cheat Sheets High-yield summaries for rapid review of key anesthesia and critical care concepts Pediatrics Focused pediatric anesthesia guidance and considerations Case Tips Extensive, case-based insights across a broad range of surgical procedures Regional Nerve Blocks & OB Regional Practical guidance for regional anesthesia techniques, including obstetric applications Drugs and Drips Detailed pharmacology with dosing, mechanisms, and clinical application Coagulopathies & Blood Management (TEG/ROTEM) Focused content for complex perioperative and critical care scenarios CABG (Coronary Artery Bypass Grafting) Step-by-step guidance from setup through separation from bypass Calculations & Clinical Tools Essential calculations including tidal volume, weight-based dosing, and more Max Local Anesthetic Calculator Quick reference for safe dosing limits Crisis Management Immediate access to critical event management, including: Local Anesthetic Toxicity (LA Max) Malignant Hyperthermia (MH) Blood / TEGs / ROTEM Other high-risk intraoperative events The app is structured for rapid navigation and real-time usability: Clear, organized layout for quick access Concise presentation of complex topics Built to support decision-making under pressure - All future updates and additions are included with a one-time purchase. There are no subscriptions or recurring fees. - Designed for every level of the anesthesia care team. ***iCloud must be switched on to save personal notes.*** This application is intended for educational and clinical reference purposes only. It is designed to support—not replace—the independent judgment of qualified healthcare professionals. It does not diagnose, treat, or provide patient-specific medical advice. All information must be verified based on the individual patient and clinical context.

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.