Regional Anesthesia in the Patient Receiving Antithrombotic or Thrombolytic therapy

The Guidelines for Regional anesthesia in the patient receiving antithrombotic or thrombolytic therapy - Edition 2026 - were prepared by the Guidelines Development Group (GDG) of the Egyptian Board of Anesthetics, Surgical Intensive Care and Pain Management group which reserves the right to determine the publication and distribution of the Guidelines. The Guidelines are subject to revision, and the updated versions will be published when needed, as warranted by the evolution of new-evidenced medical knowledge, new technology, and new practice trends. Although the Egyptian Board of Anesthetics, Surgical Intensive Care and Pain Management  encourages Egyptian anesthesiologists to adhere to its practice guidelines to ensure high-quality patient care, we cannot guarantee any specific patient outcome. Anesthesiologists should exercise their own professional judgement in determining the proper course of action for any patient’s circumstances. Egyptian Board of Anesthetics, Surgical Intensive Care and Pain Management  assumes no responsibility or liability for any error or omission arising from the use of any information contained in its Guidelines to the Practice of Regional anesthesia in the patient receiving antithrombotic or thrombolytic therapy

These Guidelines are intended to apply to all anesthesiologists in Egypt. The independent practice of anesthesia is a specialized field of medicine, which should be practiced by physicians with appropriate training who continue their education in the practice of anesthetics, surgical intensive care, pain management, perioperative care, and resuscitation.

All physicians applying for privileges in anesthesia should show satisfactory completion of specialist postgraduate training in anesthesiology certified by either the Egyptian Board training or the standard training in University programs to be able to provide these services. International medical graduates approved for licensure by provincial regulatory bodies should show training equivalent to the Egyptian standard. The only route to specialist recognition in anesthesiology in Egypt is through the “certification process” of “Egyptian Health Council” (EHC).

We would like to acknowledge the Anesthesia Guidelines Development Group (GDG) of the Egyptian Board of Anesthetics, Surgical Intensive Care and Pain Management.

Development Committee for adapting these guidelines

Chair of the GDG: Prof. Sanaa Abd El-Kareem Helmy, Faculty of Medicine, Cairo University.

Rapporteur of the GDG: Prof. Salah El-Sherif, Faculty of Medicine, Tanta University.

Members of the GDG:

-        Prof. Hassan Mohamed, Faculty of Medicine, Cairo University.

-        Prof. Hala El-Gendy, Faculty of Medicine, Tanta University.

-        Prof. Ghada Ali, Faculty of Medicine, Menofia University.

-        Prof. Khaled Maghawry, Faculty of Medicine, Ain Shams University.