Mallampati/Samsoon-Young Classification (Barash 8th ed.

)
Class I: The uvula, faucial/tonsillar pillars & soft palate are visible

Class II: Faucial/tonsillar pillars, soft palate & base/part of the uvula are visible

Class III: Soft palate & hard palate are visible

Class IV: Only the hard palate is visible

Cormack-Lehane Laryngeal View Scoring System (Barash 8th ed)
Grade 1: Visualization of the entire glottic aperture

Grade 2: Visualization of only the posterior aspects of the glottic aperture

Grade 3: Visualization of the tip of the epiglottis

Grade 4: Visualization of no more than the soft palate

The ASA Physical Status Classification System has been in use for over 60 years. The purpose of
the system is to assess and communicate a patient’s pre-anesthesia medical co-morbidities. The
classification system alone does not predict the perioperative risks, but used with other factors
(eg, type of surgery, frailty, level of deconditioning), it can be helpful in predicting perioperative
risks.

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

patient

ASA II A patient with mild Mild diseases only without substantive functional
systemic disease limitations. Current smoker, social alcohol drinker,
pregnancy, obesity (30<BMI<40), well-controlled
DM/HTN, mild lung disease

ASA III A patient with severe Substantive functional limitations; One or more moderate
systemic disease to 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, history (>3 months) of MI, CVA, TIA,
or CAD/stents.

ASA IV A patient with severe Recent (<3 months) MI, CVA, TIA or CAD/stents,
systemic disease that ongoing cardiac ischemia or severe valve dysfunction,
is a constant threat to severe reduction of ejection fraction, shock, sepsis, DIC,
life ARD or ESRD not undergoing regularly scheduled
dialysis

ASA V A moribund patient Ruptured abdominal/thoracic aneurysm, massive trauma,

who is not expected to intracranial bleed with mass effect, ischemic bowel in the
survive without the face of significant cardiac pathology or multiple
operation organ/system dysfunction

ASA VI A declared brain-dead

patient whose organs
are being removed for
donor purposes