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ASA Physical Status Classification System - American Society of Anesthesiologists (ASA).

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ASA Physical Status Classification System


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RESOURCES ASA PHYSICAL STATUS CLASSIFICATION SYSTEM


Last approved by the ASA House of Delegates on October 15, 2014
Practice Guidance
Resources Current definitions (NO CHANGE) and Examples (NEW)

Analytics and Research '


ASA PS Examples, including, but not limited to:
Services Definition
Classification

ASA Publications ASA I A normal healthy patient Healthy, non-smoking, no or minimal alcohol
use
Draft Guidelines for
ASA II A patient with mild systemic disease Mild diseases only without substantive
Comment functional limitations. Examples include (but not
limited to): current smoker, social alcohol
Group Practice Solutions G <EBMI
drinker, pregnancy, obesity (30 T H< E40),
LP
well-controlled DM/HTN, mild lung disease
Perioperative Brain Health
ASA III A patient with severe systemic disease Substantive functional limitations; One or more
Initiative moderate to severe diseases. Examples
include (but not limited to): poorly controlled
Perioperative Surgical DM or HTN, COPD, morbid obesity (BMI ≥40),
Home active hepatitis, alcohol dependence or abuse,
implanted pacemaker, moderate reduction of
ejection fraction, ESRD undergoing regularly
Trauma and Emergency
scheduled dialysis, premature infant PCA < 60
Preparedness weeks, history (>3 months) of MI, CVA, TIA, or
CAD/stents.
For Young Physicians '
ASA IV A patient with severe systemic disease that is Examples include (but not limited to): recent ( <
For Patients ' a constant threat to life 3 months) MI, CVA, TIA, or CAD/stents,
ongoing cardiac ischemia or severe valve
dysfunction, severe reduction of ejection
Career Resources '
fraction, sepsis, DIC, ARD or ESRD not
undergoing regularly scheduled dialysis
Clinical Information (
ASA V A moribund patient who is not expected to Examples include (but not limited to): ruptured
ASA Stop Smoking survive without the operation abdominal/thoracic aneurysm, massive trauma,
Initiative intracranial bleed with mass effect, ischemic
2008 ASA bowel in the face of significant cardiac
Recommendations for Pre pathology or multiple organ/system dysfunction
Anesthesia Checkout
ASA VI A declared brain-dead patient whose organs
Geriatric Curriculum are being removed for donor purposes
Anesthesiologists Infected
with Bloodborn Pathogens *The addition of “E” denotes Emergency surgery: (An emergency is defined as existing when delay in
treatment of the patient would lead to a significant increase in the threat to life or body part)
ASA Physical Status
Classification System
These definitions appear in each annual edition of the ASA Relative Value Guide®. There is no
Resources From ASA ' additional information that will help you further define these categories.
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