ASRA Coags vs Nerbio iTOF
Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.
ASRA Coags
This app provides quick access to anticoagulation guidelines for regional anesthesia and interventional pain procedures. It offers drug-specific summaries, recommendations based on procedure type, and detailed information on medication mechanisms and guideline documents.
- Anticoagulation guideline reference
- Drug-specific summary information
- Regional anesthesia guidelines
- Interventional pain guidelines
- Search by drug or procedure
- Recommendations by block and intervention type
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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.
Nerbio iTOF
This medical application works with a specific device to provide quantitative monitoring of neuromuscular blocking agents. It enhances patient safety and accuracy in monitoring, offering wireless control for caregivers. The system is recommended by anesthesiologists for precise neuromuscular transmission monitoring.
- Quantitative neuromuscular transmission monitoring
- Works with iTOF device hardware
- Remote patient monitoring
- Wireless control for caregivers
- Automated quantitative monitoring
- FDA cleared
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Nerbio’s iTOF® app works with the iTOF device; an FDA cleared, quantitative neuromuscular transmission (NMT) monitor for remote monitoring of neuromuscular blocking agents (NMBAs). The iTOF app is designed to make patient monitoring safer, easier to use, and more accurate than ever. The iTOF is the first mobile device-managed, quantitative monitor of NMBAs. The combination of the app and Bluetooth-connected stimulator device allows precise, automated quantitative monitoring of the level of neuromuscular block. Wireless control also improves caregiver safety while maintaining a high-level of patient care. The iTOF system is recommended by leading anesthesiologists and used around the world for accurate NMBA monitoring. ------------------------------- NOTE: This app requires the iTOF device hardware to perform monitoring. Contact nerbio.com for information. iTOF is a registered trademark of Nerbio Medical Software Platforms, Inc. San Jose, California USA. ------------------------------- NOTE: Nerbio’s iTOF is authorized for use in the following countries: USA CHILE COLOMBIA INDIA -------------------------------
Screenshots
Verdict
The clearest difference is rating: Nerbio iTOF at 5.0 against ASRA Coags's 1.3. Nerbio iTOF also leads on monetization model (free vs subscription). ASRA Coags's advantage is ratings volume (414 vs 3) and iOS requirement (13.4 vs 15.6). On price, update cadence, ads and in-app purchases there is nothing between them.
Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS
Both are free to download. Neither carries in-app purchases, so what you see is what you pay.
Nerbio iTOF holds the better App Store score, 5.0 against 1.3. That said, the two scores are not equally well evidenced: ASRA Coags has 414 ratings behind it against 3, so its average is the more settled of the two.
ASRA Coags ships an update every 3 months, Nerbio iTOF every 2 months. The most recent releases landed on October 23, 2026 and October 24, 2026 respectively.
| Parameter | ASRA Coags | Nerbio iTOF |
|---|---|---|
| Price | Free | Free |
| Rating | 1.3 (414 ratings) | 5.0 (3 ratings) — better |
| Positive reviews | 8.9% of reviews | — |
| Number of ratings | 414 — better | 3 |
| Update frequency | Every 3 months | Every 2 months — better |
| Ads | No | No |
| In-app purchases | No | No |
| Monetization | Subscription | Free — better |
| Devices | iPhone, iPod | iPhone, iPad, iPod — better |
| Requires iOS | 13.4 — better | 15.6 |
| Further details — not scored | ||
| Size | 27 MB | 87 MB |
| Age rating | 17+ | 17+ |
| Developer | American Society of Regional Anesthesia and Pain Medicine | Nerbio Medical Software Platform Inc |
Customer experience
ASRA Coags
Nerbio iTOF
In-app purchases
ASRA Coags
No in-app purchases
Nerbio iTOF
No in-app purchases
Questions
Is ASRA Coags free?
Is Nerbio iTOF free?
Which has better reviews, ASRA Coags or Nerbio iTOF?
Do ASRA Coags or Nerbio iTOF have ads?
Which is updated more often, ASRA Coags or Nerbio iTOF?
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