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    Андрій Данильців
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    ASA Physical Status Classification

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    2K views1 page

    ASA Physical Status Classification

    Uploaded by

    Андрій Данильців
    ASA Physical Status Classification

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    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.

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