Introduction — This topic includes links to society and government-sponsored guidelines from selected countries and regions around the world. We will update these links periodically; newer versions of some guidelines may be available on each society's website. Some societies may require users to log in to access their guidelines.
The recommendations in the following guidelines may vary from those that appear in UpToDate topic reviews. Readers who are looking for UpToDate topic reviews should use the UpToDate search box to find the relevant content.
Links to related guidelines are provided separately. (See "Society guideline links: Local anesthetic systemic toxicity".)
Canada
●Canadian Anesthesiologists' Society (CAS): Guidelines to the practice of anesthesia, revised edition (2023)
●CAS: Practice advisory on the bleeding risks for peripheral nerve and interfascial plane blockade – Evidence review and expert consensus (2019)
United States
●American Society of Anesthesiologists (ASA): Statement on regional anesthesia (amended 2022)
●European Society of Regional Anesthesia and Pain Therapy (ESRA) and American Society of Regional Anesthesia and Pain Medicine (ASRA): Practice advisory on the prevention and management of complications of pediatric regional anesthesia (2022)
●ASA: Guidelines for neuraxial analgesia or anesthesia in obstetrics (amended 2021)
●Society for Obstetric Anesthesia and Perinatology (SOAP): Interdisciplinary consensus statement on neuraxial procedures in obstetric patients with thrombocytopenia (2021)
●American Academy of Pediatric Dentistry (AAPD): Best practices for the use of local anesthesia for pediatric dental patients (revised 2020)
●ASA: Statement on standard practice for avoidance of medication errors in neuraxial anesthesia (amended 2020)
●ASA: Statement on the role of registered nurses in the management of continuous regional analgesia (amended 2018)
●ASRA: Evidence-based guidelines on regional anesthesia in the patient receiving antithrombotic or thrombolytic therapy, fourth edition (2018)
●ESRA/ASRA: Recommendations on local anesthetics and adjuvants dosage in pediatric regional anesthesia (2018)
●ASA and ASRA: Practice advisory for the prevention, diagnosis, and management of infectious complications associated with neuraxial techniques, update (2017)
●Neurostimulation Appropriateness Consensus Committee (NACC): Safety guidelines for the reduction of severe neurological injury (2017)
●AAD: Guidelines for the use of local anesthesia in office-based dermatologic surgery (2016)
●ASRA: Second evidence-based medicine assessment of ultrasound-guided regional anesthesia – Executive summary (2016)
●ASRA: Second practice advisory on neurologic complications associated with regional anesthesia and pain medicine – Executive summary (2015)
●ESRA and ASRA: Practice advisory on controversial topics in pediatric regional anesthesia (2015)
Europe
●European Society of Regional Anesthesia and Pain Therapy (ESRA) and American Society of Regional Anesthesia and Pain Medicine (ASRA): Practice advisory on the prevention and management of complications of pediatric regional anesthesia (2022)
●European Society of Anaesthesiology (ESA): Guidelines on peri-operative use of ultrasound for regional anaesthesia (PERSEUS regional anesthesia) – Peripheral nerves blocks and neuraxial anaesthesia (2020)
●ESRA/ASRA: Recommendations on local anesthetics and adjuvants dosage in pediatric regional anesthesia (2018)
●ESRA and ASRA: Practice advisory on controversial topics in pediatric regional anesthesia (2015)
●ESA: Recommendations on regional anaesthesia and antithrombotic agents (2010)
United Kingdom
●Association of Anaesthetists: Guideline on regional analgesia for lower leg trauma and the risk of acute compartment syndrome (2021)
●Association of Anaesthetists and Obstetric Anaesthetists' Association (OAA): Safety guideline on neurological monitoring associated with obstetric neuraxial block (2020)
●Royal College of Emergency Medicine (RCEM): Best practice guideline on intravenous regional anaesthesia for distal forearm fractures (Bier's block) (revised 2017)
●Association of Anaesthetists, OAA, Regional Anaesthesia UK (RA-UK), and Association of Paediatric Anaesthetists of Great Britain and Ireland (APAGBI): Safety guideline on skin antisepsis for central neuraxial blockade (2014)
●Association of Anaesthetists of Great Britain and Ireland (AAGBI), OAA, and RA-UK: Guideline on regional anaesthesia and patients with abnormalities of coagulation (2013)
Australia–New Zealand
●Australian and New Zealand College of Anaesthetists (ANZCA): Guideline for the management of major regional analgesia (2014)
●ANZCA: Guideline for health practitioners administering local anaesthesia (2013)
Japan
●[In Japanese] Japan Society of Pain Clinicians (JSPC), Japanese Society of Anesthesiologists (JSA), and Japanese Society of Regional Anesthesia (JSRA): Guidelines for regional anesthesia and nerve block during antithrombotic therapy (2016)
