Neuraxial coagulation guide 3.32

The Neuraxial Coagulation Guide is a streamlined coagulation profiling application designed for practitioners in regional anesthesia, recently updated for 2017. Its user-friendly interface provides quick access to vital information.

This app serves as an essential tool for reviewing the current guidelines established by the American Society of Regional Anesthesia (ASRA), particularly in urgent situations where the ability to perform spinal, epidural, catheter placements, or peripheral nerve blocks hinges on coagulation status. It focuses on preventing neuraxial hematomas during injections and peripheral nerve procedures.

Users can simply select the patient's anticoagulant, thrombolytic agent, thrombin inhibitor, herbal supplement, or antiplatelet medication from a comprehensive list. The app delivers critical considerations regarding the timing of procedures in relation to the patient's medication use. Additionally, it provides essential points and mechanisms of action necessary for informed decision-making—all conveniently compiled on a single page.

The app encompasses a range of medications including heparins, low molecular weight heparins (LMWH), fibrinolytics, GPIIb/IIIa inhibitors, various antiplatelet agents, anticoagulants, and herbal supplements.

These guidelines are grounded in ASRA recommendations as presented in "Regional Anesthesia and Pain Medicine" and are further supported by Horlocher TT et al.'s 4th ASRA Practice Advisory for Regional Anesthesia in Patients Receiving Antithrombotic or Thrombolytic Therapy.