Practice Recommendations on Neuraxial Anesthesia and Peripheral Nerve Blocks during the COVID-19 Pandemic

May 2020 Issue

  1. Vishal Uppal, MBBS, FRCA, EDRA Assistant Professor and Director of Regional Anesthesia Fellowship Program; Department of Anesthesia, Pain Management and Perioperative Medicine, Dalhousie University Co-author
  2. Rakesh Sondekoppam Vijayashankar Assistant Professor, University of Alberta Co-author
  3. Clara Lobo Hospital das For├žas Armadas / PP Co-author
  4. Sree Kolli Staff Anesthesiologist, Cleveland Clinic Co-author
  5. Hari Krishna Prasad Kalagara, MD, FCARCSI, EDRA Assistant Professor, The University of Alabama at Birmingham (UAB) Co-author


This joint statement by the American Society of Regional Anesthesia and Pain Medicine (ASRA) and European Society of Regional Anesthesia and Pain Therapy (ESRA) represents current recommendations based on the best available evidence and expert opinion. These are not guidelines. Recommendations may change as the situation continues to evolve. This document was last updated on March 31, 2020.

  • The document assumes that anesthesia care will be needed only on urgent and emergent surgeries or surgeries that are lifesaving (such as cancer surgeries).
  • All elective surgeries should be postponed to reduce the risk of exposure to COVID-19 and to conserve the capacity of the healthcare system, personnel, and resources for a possible increase in demand.

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Cite as: Uppal V, Sondekoppam RV, Lobo CA, Kolli S, Kalagara HKP. Practice recommendations on neuraxial anesthesia and peripheral blocks during the COVID-19 pandemic. ASRA News. 2020,Mar 27;45. Available at: www.asra.com/covid-19/raguidance.