CoaguSafe

Antithrombotic agents and invasive procedures


for iPhone and iPad

AnaPaed

Dosing in pediatric anesthesia, emergency medicine and intensive care


for iPhone and iPad

Apps

Here is an overview of the currently available apps

CoaguSafe

The app-solute helper to manage antithrombotic medication and invasvie procedures. Includes 'bridging' and 'cardiovascular risk'.

AnaPaed

Dose according to age and weight in pediatric anesthesia, intensive care and emerency medicine.

MHApp

Malignant hyperthermia (MH) ! This is the offical app of the European MH Group (EMHG) and the MH Association of the United States (MHAUS).

Congress app

Need an app for a smaller meeting ? This might be your solution. (currently iOS only and limited to a single lecture room).

CoaguSafe

These are the main features. See below for further details

Medications

Drugs interacting with the coagulation system can be listed by generic or brand name.

Drug groups

Drugs are grouped according to their mode of action. Learn about monitoring and antagonism.

Pausing

Recommended suspension of the drug before invasive procedures is given in a list and detail view.

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Bridging

Calculate thromboembolic risk and receive a recommendation for briding up to the procedure.

Cardiovascular risk

Estimate cardiovascular and surgical bleeding risk.

Guidelines

Several international, national and also local guidelines can be selected.

CoaguSafe

the app solution for management of invasive procedures in patients with antithrombotic agents

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When to pause an antithrombotic agent ?

CoaguSafe has a list of most antithrombotic agents. These can be sorted by generic or brand name. Suggestions for pausing are already visible in list view. The detail view expands on high- or low-risk procedures and - if appropriate - on patients with renal insufficency.

Each drug belongs to a drug class, i.e. thrombin inhibitors, FXa inhibitors, glycoproteine IIbIIIa inhibitors and others. Mode of action, monitoring and antagonism is described for each group.

For iPhone and iPad

On warfarin or new oral anticoagulant ?

Oral anticoagulation has to be suspended for many invasive procedures. These patients might need 'bridging' with low molecular weight heparin (LMWH), dependent on the thromboembolic risk.

The thromboembolic risk is calculated on behalf of:

  • Valvular risk factors
  • Atrial fibrillation and CHADS2 VA2Sc score
  • Risk of venous thromboembolism

Management of the new oral anticoagulants (NOAC) is frequently dependent on renal function. Therefore renal function is also accounted for.

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Cardiovascular risk? Bleeding risk?

Pausing antithrombotic drugs is important before invasive procedures are performed. On the other hand there are some patients in which such suspension of antithrombotic agents might be to dangerous.

CoaguSafe calculates the cardiovascular risk (e.g. recent coronary stents - bare metal or drug-eluting) as well as bleeding risk of the invasive procedure.

Based on these two estimations a suggestion on how to proceed is made.

Guidelines

CoaguSafe includes international, national and local guidelines. After selection of a guideline the respective recommendations are shown in coagusafe. If a specific drug is not included in the selected guideline, then alternative recommendations are shown (and labelled with an asterix).

The following guidelines are currently included:

  • American society of regional anesthesia and pain therapy (ASRA)
  • Deutsche Gesellschaft für Anästhesie und Intensivmedizin (DGAI)
  • European society of anaesthesiology (ESA)
  • Kantonsspital St. Gallen
  • United Kingdom (AAGBI, OAA, RA-UK)
  • Österreichische Gesellschaft Anästhesiologie, Reanimation und Intensivmedizin (ÖGARI)

Should a particular guideline be missing, then drop me an email. On specific request local guidelines can also be included.

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CoaguSafe

optimized for iPhone and iPad

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AnaPaed

Optimized for iPad and iPhone

Please note: AnaPaed is currently not optimized for iOS 7/8.

An update is currently being programmed and should hopefully release soon.

AnaPaed does however run under iOS 7/8 but does not look as nice as it should.

Dosing

Drugs are dosed according to weight and/or age and shown as mg/kg as well as ml.

Lists

All items can be ordanized in editable lists. 'Standard medication' is your favorties list.

Editing

Drug concentrations, brand names, position in list can be edited.

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Add your own

New drugs can be added with custom concentration and weight or age dependent dosing.

Emergency

Define a list of emergency drugs and Quickly select an age group to be suggested a weight.

Dilutions

Calculate dilutions and dosing of lyophilized drugs.

AnaPaed

optimized for iPhone and iPad

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