ASRA Coags vs Antithrombotic Guidelines

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.

Derived from research published by the American Society of Interventional Pain Physicians © (ASIPP), the Antithrombotic Guidelines app converts the ASIPP Antithrombotics and Epidural guidelines into a quick and easy-to-use reference guide. The contents of this app are derived from the following works of research: 1. Manchikanti, L. (2019). Responsible, safe, and effective use of antithrombotics and anticoagulants in patients undergoing interventional techniques: American Society of Interventional Pain Physicians (ASIPP) guidelines. Pain Physician, 22, S75-S128.   2. Manchikanti, L., Knezevic, N. N., Navani, A., Christo, P. J., Limerick, G., Calodney, A. K. Sharma, M. L. (2021). Epidural Interventions in the Management of Chronic Spinal Pain: American Society of Interventional Pain Physicians (ASIPP) Comprehensive Evidence-Based Guidelines. Pain physician, S27-S208. Features: • Select the drug and procedure, and view the relevant guideline. • View reversal guidelines for selected drugs. • View the PDF version of the original research articles. • Ability to favorite drugs and procedures for quick reference. • Search by drug name or brand name. • Search by procedure name or level of risk. • Obtain drug info by tapping on the info icon. • View the Checklist PDF. • Offline app functionality.