ASA Classification Flashcards
what is the ASA classification system?
American Society of Anesthesiologists (ASA) Physical Status Classification System
how many classification levels are there in the ASA system, and what are the modifications
- Classification is 1-6
- Modifications incl: “E” denoting emergency surgery
An emergency is defined as existing when delay in tx of the patient would lead to a significant increase in the threat to life or body part
ASA 1
a normal, healthy patient
(e.g. healthy, non-smoking, no or minimal alcohol use)
ASA 2
a patient w/ mild systemic disease
(e.g. mild diseases only without substantive functional limitations. Including but not limited to: current smoker, social alcohol drinker, pregnancy, obesity, well-controlled DM/HTN, mild lung diease)
ASA 3
a patient with severe systemic disease
(e.g. substantive functional limitations; 1 or more mod-severe diseases. Including: poorly controlled DM or HTN, COPD, morbid obesity, active hepatitis, alcohol dependency or abuse, implanted pacemaker, ESRD undergoing regularly scheduled dialysis, premature infant, hx >3 months of MI, CVA, TIA, or CAD/stents
ASA 4
a patient w/ severe systemic disease that is a constant threat to life
(e.g. recent <3 months MI, CVA, TIA, CAD/stents, ongoing cardiac ischemia, or severe valve dysfunction, severe reduction of ejection fraction, sepsis, DIC, ARD, or ESRD undergoing regularly scheduled dialysis)
ASA 5
a moribund (patient near death) patient who is not expected to survive w/o the operation
(e.g. ruptured abdominal/thoracic aneurysm, massive trauma, intracranial bleed w/ mass effect, ischemic bowel in the face of significant cardiac path or multiple organ/system dysfunction)
ASA 6
a declared brain-dead patient whose organs are being removed for donor purposes
ASA 6
a declared brain-dead patient whose organs are being removed for donor purposes
