Surgeries

Question 1

What are the ASA grades?

Answer 1

1 = normal + healthy
2 = mild systemic disease
3 = severe systemic disease
4 = severe systemic disease that is a constant threat to life
(+ Suffix E = for emergency case)
5 = moribund patient not expected to survive 24hrs
6 = ‘braindead’

Question 2

What are the grades of surgery?

Answer 2

1 = minor e.g. excision of skin lesion, drainage of breast abscess
2 = intermediate e.g. repair of inguinal hernia, excision of varicose veins, tonsillectomy, knee arthroscopy
3 = major e.g. TAH, thyroidectomy, lumbar discectomy
4 = major+ e.g. total joint replacement, lung operation, colonic resection, radical neck resection, Hartmann’s

Question 3

What are the NBM rules pre-operatively?

Answer 3

6 hours for food
2 hours for clear fluids