A - ASA Flashcards
ASA I
Normal healthy patient
ASA II
Px with mild systemic disease
Current smoker, social alcohol drinker
Pregnancy, obesity
Well-controlled DM, HTN, mild lung dse
ASA III
Px with severe systemic disease Poorly controlled DM or HTN COPD Morbidly obese Active hepatitis, alcohol dependence /abuse > 3 months history of MI, CVA, TIA, CAD, and stents ESRD with regular dialysis Implanted pacemaker Moderate reduction of EF Premature infant PC < 60 weeks (?)
ASA IV
Px with severe systemic disease that’s a constant threat to life
Recent (<3 months) MI, CVA, TIA, CAD, or stents
Ongiong ischemia or severe valve dysfunctions
Severe reduction of EF
Sepsis, DIC
Acute renal failure / ESRD w/o regular dialysis
Severe COPD, sever CHF, severe DM/DKA/end-organ damage
ASA V
A moribund patient who is not expected to survive w/o operation
Ruptured aneurysm
Massive trauma
Intracranial bleed with mass effect
Ischemic bowel in the face of significant cardiac pathology or multiple organ, or systemic dysfunctions
[sysmptomatic sepsis]
ASA VI
Brain-dead patient whose organs are being removed for donor purposes
ESRD w/o regular dialysis
ASA IV
Ruptured aneurysm
ASA V
Intracranial bleed with mass effect
ASA V
COPD (mild)
ASA III
Obesity
ASA II
Morbidly obese
ASA III
Implanted pacemaker
ASA III
Active hepatitis
ASA III
Poorly controlled diabetes
ASA III
