Anticoagulation Timing Tool

Neuraxial & deep plexus block timing · ASRA 5th Edition (2024)

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Concurrent antiplatelets: If also on aspirin or P2Y12 inhibitors, treat as higher bleeding risk. Consider longer hold times and avoid indwelling catheters. (ASRA 5th Ed, combination therapy recommendations)

Neuraxial / deep plexus timing

Hold before placement

Hold before removal

Restart after placement

Restart after removal

Half-life: Reversal:

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Disclaimer: This tool is an educational reference only, not a substitute for clinical judgment. Always verify timing recommendations against the full ASRA 5th Edition guidelines and your institution's protocols before making clinical decisions. Patient-specific factors (renal function, bleeding risk, concurrent medications) may alter management.

See also: ASRA Guidelines (table view)