ASRA Coags 2.0 App

By Rajnish K. Gupta, MD    Apr 26, 2018

With the release of the ASRA Coags 2.0 app, I want to give you some background on where the app came from and what’s new in the latest version.

In 2010, the American Society of Regional Anesthesia and Pain Medicine (ASRA) released the Third Edition of its often-cited and frequently-used guidelines on regional anesthesia in the patient receiving antithrombotic or thrombolytic therapy.[1] These guidelines have become an essential part of clinical practice for many anesthesia professionals around the world, but the document itself was too long and complicated to use during a busy clinical day.

In 2014, ASRA decided to create the ASRA Coags Regional app to help with this problem. The app was a searchable database tool on your iOS or Android device that accessed the same information as the 2010 guidelines but in a quick and readable format.  This app was a resounding success with over 25,000 downloads in the last 4 years!  ASRA Coags Regional has demonstrated the value of app-based guidelines in enhancing the ability of practitioners to access and utilize published best practices in an efficient way.[2] The ASRA Coags Pain app was released in 2015 for the Interventional Pain Guidelines as well.[3]

In April 2018, ASRA published major updates to both the regional anesthesia and pain medicine anticoagulation guidelines, and time was right to update the app.[4-5]  This resulted in the production of the brand new ASRA Coags 2.0 app that was released at the same time as these new guidelines and combines the two articles into a single app. 

We feel that the new ASRA Coags 2.0 app will be an exciting and useful update for all clinicians who have been seeking guidance in this field.  With its ease of use and ready accessibility, the ASRA Coags 2.0 app presents an opportunity for referring physicians and clinics to use this app to better prepare their patients before they arrive for a procedure, thereby reducing unnecessary cancellations, delays, or avoidance of appropriate regional anesthesia. Within the app, we’ve made many improvements to enhance the user experience and added a lot of content.  When first opening the new app, users will be given the option of maintaining the option to default to the Home Screen with both regional and pain guideline options or to default to a preferred guideline for faster access.  With the pain guidelines, we continue to provide search by drug or by procedure depending on how you approach your diagnostic problem.  Within the app, the executive summaries and mechanisms of action have been expanded so there is more information for the user to access when necessary.  All of this information is embedded, so everything works correctly even without an internet connection. 

The app is a FREE update to anyone who has purchased the ASRA Coags Regional app previously.  The existing ASRA Coags Pain app will be discontinued. 

ASRA Coags 2.0 is available on the iOS and Google Play App Stores for $3.99.



References:

  1. Horlocker TT, Wedel DJ, Rowlingson JC, Enneking FK, Kopp SL, Benzon HT, Brown DL, Heit JA, Mulroy MF, Rosenquist RW, Tryba M, Yuan C-S: Regional anesthesia in the patient receiving antithrombotic or thrombolytic therapy: American Society of Regional Anesthesia and Pain Medicine Evidence-Based Guidelines (Third Edition). 2010; 35:pp 64–101

  2. Gupta RK, McEvoy MD: Initial Experience of the American Society of Regional Anesthesia and Pain Medicine Coags Regional Smartphone Application: A Novel Report of Global Distribution and Clinical Usage of an Electronic Decision Support Tool to Enhance Guideline Use. Reg Anesth Pain Med 2016; 41:334–8

  3. Narouze S, Benzon HT, Provenzano DA, Buvanendran A, De Andres J, Deer TR, Rauck R, Huntoon MA: Interventional spine and pain procedures in patients on antiplatelet and anticoagulant medications: 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. Reg Anesth Pain Med 2015; 40:182–212

  4. Horlocker TT, Vandermeuelen E, Kopp SL, Gogarten W, Leffert LR, Benzon HT: Regional Anesthesia in the Patient Receiving Antithrombotic or Thrombolytic Therapy: American Society of Regional Anesthesia and Pain Medicine Evidence-Based Guidelines (Fourth Edition). Reg Anesth Pain Med 2018; 43:263–309

  5. Narouze S, Benzon HT, Provenzano D, Buvanendran A, De Andres J, Deer T, Rauck R, Huntoon MA: 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. Reg Anesth Pain Med 2018; 43:225–62


Rajnish K. Gupta, MD, is an associate professor of anesthesiology at Vanderbilt University Medical Center in Nashville, TN. He also serves as the chair of ASRA's Public Relations Committee.


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