American Society of Anesthesiologists’ Physical status classifications Flashcards
ASA 1
Normal Healthy patient
ASA 2
Patient with mild systemic disease
(no functional limitations)
ASA 3
Patient with severe systemic disease
Some functional limitations
ASA 4
Patient with severe systemic disease that is a constant threat to life.
(Functionality incapacitated)
ASA 5
Moribund patient who is not expected to survive without the operation.
ASA 6
Brain-dead patient whose organs are being removed for donor purposes.
ASA E
An emergent procedure; the physical status is followed by “E”
Eg, “2E”
HTN
ASA 2
Diabetes
ASA 2
Chronic bronchitis
ASA 2
Morbid obesity
ASA 2
Extremes of age
ASA 2
Poorly controlled HTN
ASA 3
DM with vascular complications
ASA 3
Angina pectoris
ASA 3
Previous MI
ASA 3
Pulmonary dx that limits activity
ASA 3
CHF
ASA 4
Unstable angina pectoris
ASA 4
Advanced pulmonary dysfunction
ASA 4
Advanced renal or hepatic dysfunction
ASA 4
Ruptured abdominal Aneurysm
ASA 5
Pulmonary embolus
ASA 5
Head injury with ICP
ASA 5
ASA defines:
Relative risk prior to conscious sedation and surgical anesthesia.
ASA Class(es) that have a markedly increased risk of pulmonary complications:
ASA 3 & 4
ASA Score for :
Non smoker. Healthy.
ASA 1
ASA Score for:
Well controlled DM or HTN?
ASA 2
ASA SCore for:
Social Drinker
ASA 2
ASA Score for:
30 < BMI < 40
ASA 2
ASA Score for:
Current smoker
ASA 2
ASA SCORE FOR:
COPD
ASA 3
ASA SCORE FOR
MODERATE REDUCTION OF EF
ASA 3
ASA SCORE FOR
PACEMAKER
ASA 3
ASA SCORE FOR;
PREMATURE INFANT PCA <60 WEEKS
ASA 3
ASA SCORE FOR
HX OF MI CVA, TIA, CAD/STENTS > 3 MOS
ASA 3
ASA SCORE FOR
RECENT MI, CVA, TIA, CAD/STENTS (<3 MOS)
ASA 4
ASA FOR:
ESRD UNDERGOING HD
ASA 3
ASA SCORE FOR:
SEVERE REDUCTION OF EF
ASA 4
ASA SCORE FOR:
SEPSIS
ASA 4
ASA SCORE FOR:
DIC
ARDS
ESRD not undergoing regular HD
ASA 4
ASA SCORE FOR:
MASSIVE TRAUMA
ASA 5
ASA SCORE FOR:
IC BLEED WITH MASS EFFECT
ASA 5
ASA SCORE FOR:
ISCHEMIC BOWEL - WITH SIGN CARDIAC OR MODS
ASA 5
ASA SCORE FOR:
AAA
ASA 5
ASA SCORE FOR:
PATIENT WITH SEVERE SYSTEMIC DX THAT IS A CONSTANT THREAT TO LIFE
ASA 4
ASA FOR:
A MORIBUND PT WHO IS NOT EXPECTED TO SURVIVE W/O THE OPERATION
ASA 5
ASA SCORE:
MILD SYSTEMIC DISEASE
ASA 2