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Regional anesthesia and ATT, ASRA Guidelines (4th Edition) 2018. Regional Anesthesia in the Patient Receiving Antithrombotic or Thrombolytic Therapy:Apr 1, 2018. ASRA. From Horlocker T, Vandermeuelen, E, Kopp S, et al. 2003, and 2010 ASRA Consensus Documents as well as the 2010 ESA Guidelines. for these patients,16–18 as the current ASRA guidelines for the 2018 American Society of Regional Anesthesia and Pain Medicine Guidelines and Advisories · Trust ASRA — the gold standard in scientific advisories and guidelines related to anesthesia, analgesia, and acute and chronic pain.