ASRA Timeout vs Coexisting Diseases & Surgery

The ASRA TIMEOUT app provides a quick and easy way to execute a pre-procedure timeout. Timeouts have repeatedly been shown to reduce human error prior to performing complex tasks. In regional anesthesia, it is imperative that we perform the correct block on the correct limb for the correct patient every time. The app is based on the 2014 ASRA publication, A Checklist for Performing Regional Nerve Blocks, and was built in collaboration with ASRA to stay consistent with the evidence-based checklist described in that publication. The ASRA TIMEOUT app checklist provides in-line app switching to the ASRA Coags app when the verification of patient anticoagulant status needs to be checked off. The ASRA Coags app allows the user to verify the appropriateness of the patient’s anticoagulation status based on the most recent published ASRA guidelines on regional anesthesia for patients on anticoagulant and antithrombotic medication. In addition, the user has access to the full PDF publication from Regional Anesthesia and Pain Medicine built right into the app. Project developed at Vanderbilt University Medical Center. Code written by Mustard Seed Software LLC.

The Vargo Coexisting Diseases & Surgery App is a clinician-built resource designed to help anesthesia providers tailor anesthetic management to the patient’s underlying comorbidities and surgical considerations. Built from years of clinical experience, the app focuses on how coexisting diseases directly impact perioperative decision-making. Organized by major clinical systems, the app allows for rapid access to condition-specific anesthesia considerations—whether preparing for a case or managing complex patients in active clinical settings. The app is structured by major organ systems and disease categories, providing focused anesthesia guidance across a wide range of conditions: - Brain / Neuro Neurologic conditions and their impact on anesthesia management - Cardiac Hemodynamic considerations, cardiac pathology, and perioperative risk - Endocrine Diabetes, adrenal disorders, thyroid disease, and metabolic implications - Gastrointestinal GI disorders affecting anesthesia planning and intraoperative care - Hematologic Disorders Coagulopathies, anemia, and blood management considerations - Liver & Biliary Tract Hepatic dysfunction and implications for drug metabolism and coagulation - Pediatrics & OB/GYN Specialized considerations for pediatric and obstetric populations - Pulmonary Respiratory disease management and ventilation strategies - Renal Diseases Kidney dysfunction and fluid, electrolyte, and drug considerations - Congenital Heart Defects Structural cardiac conditions and tailored anesthesia approaches The app is built to provide clear, focused guidance that directly applies to clinical practice: Organized for rapid navigation by system and condition Emphasis on how disease states influence anesthetic planning Practical, case-driven considerations rather than general summaries This is a tool designed to help providers quickly answer the question: “How does this patient’s condition change my anesthetic plan?” The Vargo Coexisting Diseases & Surgery App is developed by experienced anesthesia providers who specialize in managing complex cases across a wide range of disease states. The content reflects real clinical decision-making and is continuously refined to remain relevant and practical. 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. Not just what to do—but the physiology driving every decision. Disclaimer: The Vargo Anesthesia Apps are intended for educational and clinical reference purposes only. These applications are designed to support clinical decision-making by trained healthcare professionals and are not a substitute for independent medical judgment, institutional policies, or current standards of care. Users are responsible for independently verifying all information, including drug dosages, calculations, and patient-specific considerations.