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.