ASA PHYSICAL STATUS AND ANESTHETIC ASSESSMENT

ASA PHYSICAL STATUS AND ANESTHETIC ASSESSMENT

AMERICAN SOCIETY OF ANESTHESIOLOGIST (ASA) PHYSICAL STATUS CLASSIFICATION SYSTEM
CLASS	ASA CRITERIA	EXAMPLE
1	A Normal Healthy Adult No organic, physiologic, biochemical or psychiatric disturbance.	A healthy patient without medical problems Patients without shock, blood loss or systemic signs of injury are present in an individual who otherwise fall into Class 1. Congenital deformities unless they are causing a systemic disturbance
2	A patient with mild systemic Disease which may or may not be related to reason for surgery. (Examples: hypertension, diabetes mellitus)	Anemic Chronic bronchitis Essential hypertension with medication Medically controlled diabetic with p.o. meds
3	Patient with severe systemic Disease (Examples: heart disease, poorly controlled hypertension)	Insulin controlled diabetic. Immunosuppressed. Moderate degree of pulmonary insufficiency. Stable coronary artery disease. Asthma under treatment. Extreme obesity.
4	Patient with severe systemic disease that is a constant threat to life. (Examples: Congestive hart failure, persistent angina pectoris).	Organic heart disease showing marked signs of cardiac insufficiency. Persistent anginal syndrome. Active myocarditis. Advanced degree of pulmonary, hepatic, renal or endocrine insufficiency.
5	Moribund patient who is not expected to survive without the operation. Surgery is the last resort. (Example: uncontrolled bleeding, ruptured AAA)

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  Patients over 70 years of age.
  
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  Patients with underlying cardiorespiratory risks.
  
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  Patients receiving IV conscious sedation medications greater than the drug dosage guidelines for nurse administration.
  
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  Pregnant in 1^st trimester.
  

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