ASRA Coags vs Checklist Navigator

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.

Surgical safety and anesthesia safety checklists have been proven to reduce mishaps and improve outcomes. Checklists haves also been used to improve the conduct of handoffs and to guide treatment during crises. However, executing checklists in a uniform, reproducible and reliable manner can be difficult. Checklist posters on the procedure room wall can be challenging or impossible to read at a distance, and paper checklists get misplaced. Checklists incorporated into electronic health records are often simple lists, without “smart” functionality. Computerized checklists are widely used in commercial aviation, either built in to the avionics systems, or carried onto the flight deck by the pilots on their ubiquitous computer tablets. The format and function of these computerized checklists have been carefully considered, designed and refined by aircraft manufacturing companies, airlines and test pilots. The authors of this app are anesthesiologists, software engineers, and a commercial airliner test pilot. They have incorporated aviation checklist design principles into this convenient app. Key design elements include ease of navigation, the ability to quickly identify the checklist that is required for a particular situation, a place keeper that automatically highlights the next checklist item, a change in color when checklist items are completed, a change in color of checklist items that are skipped, helping to prevent missed checklists items, which can be a cause of mishaps, and confirmation that a checklist has been completed. In addition to a brief and easily recognized description of each checklist item, a more detailed explanation of each item is also available for reference. In this inaugural version of the app, a limited library of checklists is provided, that will eventually be expanded to include many more checklists, including a full suite of crisis checklists (known as “non-normal checklists” in aviation). Current checklists include— -> Surgical safety checklists (derived from the WHO surgical safety checklists, also known as the procedural“time out”) -> Preanesthesia safety checklist (derived from the APSF preanesthesia checklist) -> Handoff checklist for safe patient handoff between care providers