ASA Classifications

Question 1

ASA I

Answer 1

Normal healthy patient
Non-smoker and no or minimal alcohol use
No acute or chronic disease
Normal BMI percentile

Question 2

ASA II

Answer 2

Patient w/ mild systemic disease
No substantive functional limitations
Current smoker, social alcohol drinker, pregnancy, obesity BMI 30-40kg/m^2, well-controlled diabetes or HTN, mild lung disease

Question 3

ASA III

Answer 3

Patient w/ severe systemic disease
Substantive functional limitations
1+ moderate to severe diseases
Poorly controlled diabetes or HTN
Morbid obesity BMI >40

Question 4

ASA IV

Answer 4

Patient w/ severe systemic disease that constantly threatens life
Recent < 3mos MI, CVA, TIA, or CAD, ongoing cardiac ischemia, severe valve dysfunction, shock, sepsis, DIC, ARDS, ESRD

Question 5

ASA V

Answer 5

Moribound patient not expected to survive w/o the operation
Ruptured abdominal/thoracic aneurysm, massive trauma, intracranial bleed, ischemic bowel w/ significant cardiac pathology, multiple organ/system dysfunction

Question 6

ASA VI

Answer 6

Declared brain-dead patient whose organs are being removed for donor (procurement) purposes

Question 7

Pediatric ASA II

Answer 7

Asymptomatic congenital cardiac disease, well-controlled dysrhythmias, asthma w/o exacerbation, well-controlled epilepsy, non-insulin dependent diabetes mellitus, abnormal BMI percentile, mild/moderate OSA, oncologic state in remission, autism w/ mild limitations

Question 8

Pediatric ASA III

Answer 8

Uncorrected stable congenital cardiac abnormality, asthma w/ exacerbation, poorly controlled epilepsy, insulin dependent diabetes, organ transplant history, premature infant, long-term parenteral nutrition

Question 9

Pediatric ASA IV

Answer 9

Symptomatic congenital cardiac abnormality, congestive heart failure, acute HIE, ventilator dependence, severe respiratory distress, advanced oncologic state

Question 10

Pediatric ASA V

Answer 10

ECMO, respiratory failure or arrest, malignant HTN, decompensated congestive heart failure, hepatic encephalopathy, ischemic bowel, MODS

Question 11

Obstetric ASA II

Answer 11

Normal pregnancy well-controlled gestational HTN, preeclampsia w/o severe features, diet-controlled gestational diabetes

Question 12

Obstetric ASA III

Answer 12

PEC w/ severe features, gestational diabetes complications, thrombophilia disease

Question 13

Obstetric ASA IV

Answer 13

HELLP, peripartum cardiomyopathy EF < 40, uncorrected/decompensated heart disease

Question 14

Obstetric ASA V

Answer 14

Uterine rupture