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ASA Physical Status Classification

The ASA Physical Status Classification System categorizes patients from ASA Class I to VI based on the presence and severity of systemic disease. ASA Class I refers to a healthy patient with no medical problems. ASA Class II includes patients with mild systemic disease such as controlled diabetes or hypertension. ASA Class III covers patients with severe systemic disease such as poorly controlled diabetes or COPD that results in functional limitations. ASA Class IV indicates severe systemic disease that poses a constant threat to life, such as recent heart attack or stroke. ASA Class V describes a moribund patient not expected to survive without surgery. Class VI is a brain-dead organ donor. The anesthesiologist must dedicate full attention to patients from

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4K views1 page

ASA Physical Status Classification

The ASA Physical Status Classification System categorizes patients from ASA Class I to VI based on the presence and severity of systemic disease. ASA Class I refers to a healthy patient with no medical problems. ASA Class II includes patients with mild systemic disease such as controlled diabetes or hypertension. ASA Class III covers patients with severe systemic disease such as poorly controlled diabetes or COPD that results in functional limitations. ASA Class IV indicates severe systemic disease that poses a constant threat to life, such as recent heart attack or stroke. ASA Class V describes a moribund patient not expected to survive without surgery. Class VI is a brain-dead organ donor. The anesthesiologist must dedicate full attention to patients from

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Андрій Данильців
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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ASA PHYSICAL STATUS CLASSIFICATION SYSTEM

Last approved by the ASA House of Delegates on October 15, 2014

ASA PS Definition Examples, including, but not limited to:


Classification

ASA I A normal healthy patient Healthy, non-smoking, no or minimal alcohol use

ASA II A patient with mild systemic Mild diseases only without substantive functional limitations:
disease current smoker, social alcohol drinker, pregnancy, obesity (30
< BMI < 40), well-controlled DM/HTN, mild lung disease,
psychotic patients unable to care for themselves, mild acidosis,
anemia moderate, septic or acute pharyngitis, chronic sinusitis
with postnasal discharge, acute sinusitis.

ASA III A patient with severe systemic Substantive functional limitations; One or more moderate to
disease severe diseases: poorly controlled DM or HTN, COPD, morbid
obesity (BMI ≥40), active hepatitis, alcohol dependence or
abuse, implanted pacemaker, moderate reduction of ejection
fraction, ESRD undergoing regularly scheduled dialysis,
premature infant PCA < 60 weeks, history (>3 months) of MI,
CVA, TIA, or CAD/stents; complete intestinal obstruction that
has existed long enough to cause serious physiological
disturbance; pulmonary tuberculosis that, because of the
extent of the lesion or treatment, has induced vital capacity
sufficiently to cause tachycardia or dyspnea; patients
debilitated by prolonged illness with weakness of all or several
systems; severe trauma from accident resulting in shock, which
may be improved by treatment; pulmonary abscess.

ASA IV A patient with severe systemic Recent ( < 3 months) MI, CVA, TIA, or CAD/stents, ongoing
disease that is a constant cardiac ischemia or severe valve dysfunction, severe reduction
threat to life of ejection fraction, sepsis, DIC, ARD or ESRD not undergoing
regularly scheduled dialysis;
severe trauma with irreparable damage; complete intestinal
obstruction of long duration in a patient who is already
debilitated; a combination of cardiovascular-renal disease with
marked renal impairment; patients who must have anesthesia
to arrest a secondary hemorrhage where the patient is in poor
condition associated with marked loss of blood. Emergency
Surgery: an emergency operation is arbitrarily defined as a
surgical procedure which, in the surgeon’s opinion, should be
performed immediately.

ASA V A moribund patient who is not Ruptured abdominal / thoracic aneurysm, massive trauma,
expected to survive without intracranial bleed with mass effect, ischemic bowel in the face
the operation of significant cardiac pathology or multiple organ/system
dysfunction

ASA VI A declared brain-dead patient


whose organs are being
removed for donor purposes

E Emergent procedure

The anesthesiologist must be dedicated to the patient with ASA III–VI at all times throughout the conduct of
all IV sedation/analgesia, regional block or general anesthetic until the patient is transferred to the post-
anesthesia recovery.

ASA PHYSICAL STATUS CLASSIFICATION SYSTEM Last approved by the ASA House of Delegates on October 15, 2014 ASA PS Classificati

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