Guidelines

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

Just released:

Use of Corticosteroids for Adult Chronic Pain Interventions: Sympathetic and Peripheral Nerve Blocks, Trigger Point Injections - Guidelines From the American Society of Regional Anesthesia and Pain Medicine, the American Academy of Pain Medicine, the American Society of Interventional Pain Physicians, the International Pain and Spine Intervention Society, and the North American Spine Society

Frequently accessed guidance

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The recommendations contained herein do not define standard of care. They are not intended to replace clinical judgment. In the imperfect setting of heterogeneity of the data, limited data, controversial topics, and bias inherent to expert opinion, compliance with the recommendations may not result in improved outcomes compared to alternative therapies consistent with personalized medicine.

Guidelines and Advisories

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

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Frequently accessed guidance

Anticoagulation

Lumbar Facet

Local Anesthetic
Systemic Toxicity

Nomenclature in
Regional Anesthesia

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Use of Corticosteroids for Adult Chronic Pain Interventions: Sympathetic and Peripheral Nerve Blocks, Trigger Point Injections

Standardizing Nomenclature in Regional Anesthesia: An ASRA-ESRA Delphi Consensus Study of Upper and Lower Limb Nerve Blocks

Evidence-Based Clinical Practice Guidelines on Postdural Puncture Headache: A Consensus Report From a Multisociety International Working Group

Evidence-Based Consensus Guidelines on Patient Selection and Trial Stimulation for Spinal Cord Stimulation Therapy for Chronic Non-Cancer Pain

Consensus Guidelines on the Management of the Perioperative Patient on Cannabis and Cannabinoids

All Patients Should be Screened for Cannabis Use Before Surgery, First U.S. Guidelines Recommend

Interventional Spine and Pain Procedures in Patients on Antiplatelet and Anticoagulant Medications (Second Edition)

APP ALERT: ASRA Coags Pain Medicine Guidelines

ASRA Pain Medicine Recommendations for Interventional Pain Procedures During Contrast Shortage

International Consensus Meeting Recommendations on Thromboembolism

Practice Advisory on the Prevention and Management of Complications of Pediatric Regional Anesthesia

Consensus Practice Guidelines on Interventions for Cervical Spine (Facet) Joint Pain from a Multispecialty International Working Group

Buprenorphine Management in the Perioperative Period: Educational Review and Recommendations from a Multisociety Expert Panel

Practice Advisory: Use of Gadolinium-Based Contrast Agents in Interventional Pain Procedures

Point-of-Care Ultrasound Education and Training for Regional Anesthesiologists and Pain Physicians

Interdisciplinary Consensus Statement on Neuraxial Procedures in Obstetric Patients with Thrombocytopenia

Standardizing Nomenclature in Regional Anesthesia: An ASRA-ESRA Delphi Consensus Study of Abdominal Wall, Paraspinal, and Chest Wall Blocks

Checklist for Treatment of Local Anesthetic Systemic Toxicity (LAST)

Consensus Practice Guidelines on Interventions for Lumbar Facet Joint Pain from a Multidisciplinary, International Working Group

Tranexamic Acid in Total Joint Arthroplasty: The Endorsed Clinical Practice Guides

Consensus Guidelines on the Use of Intravenous Ketamine Infusions for Acute Pain Management

Consensus Guidelines on the Use of Intravenous Ketamine Infusions for Chronic Pain Management

Regional Anesthesia in the Patient Receiving Antithrombotic or Thrombolytic Therapy

Evidence-Based Medicine Assessment of Ultrasound-Guided Regional Anesthesia

The Second ASRA Practice Advisory on Neurologic Complications Associated With Regional Anesthesia and Pain Medicine

Practice Advisory on Controversial Topics in Pediatric Regional Anesthesia

A Checklist for Performing Regional Nerve Blocks (Time Out)