Advisories & guidelines

Trust ASRA — the gold standard in scientific advisories and guidelines related to anesthesia, analgesia, and acute and chronic pain.

Practice advisories and guidelines represent the opinions of the respective authors. Readers are advised to analyze and apply this information in their own practices.

Regional Anesthesia in the Patient Receiving Antithrombotic or Thrombolytic Therapy

The fourth edition of ASRA's evidence-based guidelines provides the most up-to-date information and patient safety recommendations. 

All advisories & guidelines

Consensus Practice Guidelines on Interventions for Lumbar Facet Joint Pain from a Multispecialty, International Working Group
April 3, 2020
A multisociety committee of experts assessed 17 questions around lumbar facet blocks and radiofrequency ablation to treat low back pain and developed these consensus guidelines.
Evidence-Based Clinical Guidelines for Multidisciplinary Spine Care: Diagnosis and Treatment of Low Back Pain
January 2020
Developed by the North American Spine Society with input from representatives from 11 other stakeholder societies, including ASRA.
Tranexamic acid in total joint arthroplasty: the endorsed clinical practice guides of AAHKS, ASRA, American Academy of Orthopaedic Surgeons, Hip Society, and Knee Society
Jan 2019
A significant body of literature has been compiled on the use of TXA in hip and knee arthroplasty, but a comprehensive review and analysis of the existing evidence to provide clinical guidance is lacking. The purpose of these guidelines is to improve the treatment of orthopedic surgical patients and reduce practice variation by promoting a multidisciplinary evidence-based approach on the use of TXA.
Consensus Guidelines on the Use of Intravenous Ketamine Infusions for Acute Pain Management From the American Society of Regional Anesthesia and Pain Medicine, the American Academy of Pain Medicine, and the American Society of Anesthesiologists
June 5, 2018
Consensus Guidelines on the Use of Intravenous Ketamine Infusions for Chronic Pain From the American Society of Regional Anesthesia and Pain Medicine, the American Academy of Pain Medicine, and the American Society of Anesthesiologists
June 5, 2018
Interventional Spine and Pain Procedures in Patients on Antiplatelet and Anticoagulant Medications (Second Edition)
April 1, 2018
Regional Anesthesia in the Patient Receiving Antithrombotic or Thrombolytic Therapy: American Society of Regional Anesthesia and Pain Medicine Evidence-Based Guidelines (Fourth Edition)
April 1, 2018
Checklist for Treatment of Local Anesthetic Systemic Toxicity
Jan 2018
An update of the 2012 checklist, we developed this document for practitioners as a tool for the care of patients who receive potentially toxic doses of local anesthetics. The checklist is available to download.
Practice Advisory for the Prevention, Diagnosis, and Management of Infectious Complications Associated with Neuraxial Techniques
April 1, 2017
An Updated Report by the American Society of Anesthesiologists Task Force on Infectious Complications Associated with Neuraxial Techniques and the American Society of Regional Anesthesia and Pain Medicine
The Second American Society of Regional Anesthesia and Pain Medicine Evidence-Based Medicine Assessment of Ultrasound-Guided Regional Anesthesia
Mar/Apr 2016
An examination of the evidence basis for ultrasound guidance as a nerve localization tool in the clinical practices of regional anesthesia and interventional pain medicine.
Management of Postoperative Pain: A Clinical Practice Guideline
February 2016
From the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists' Committee on Regional Anesthesia, Executive Committee, and Administrative Council
The European Society of Regional Anaesthesia and Pain Therapy and the American Society of Regional Anesthesia and Pain Medicine Joint Committee Practice Advisory on Controversial Topics in Pediatric Regional Anesthesia
Sep/Oct 2015
Some topics in the clinical management of regional anesthesia in children remain controversial. To evaluate and come to a consensus regarding some of these topics, The European Society of Regional Anaesthesia and Pain Therapy (ESRA) and the American Society of Regional Anesthesia and Pain Medicine (ASRA) developed a joint committee practice advisory on pediatric regional anesthesia.
The Second ASRA Practice Advisory on Neurologic Complications Associated With Regional Anesthesia and Pain Medicine: Executive Summary 2015
Sep/Oct 2015
The Society convened a second practice advisory in 2012 with the goal of providing information for practitioners of regional anesthesia and pain medicine regarding the etiology, differential diagnosis, prevention, and treatment of neurologic complications.