ASA Classification Flashcards

1
Q

what is the ASA classification system?

A

American Society of Anesthesiologists (ASA) Physical Status Classification System

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2
Q

how many classification levels are there in the ASA system, and what are the modifications

A
  • Classification is 1-6
  • Modifications incl: ā€œEā€ 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

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3
Q

ASA 1

A

a normal, healthy patient

(e.g. healthy, non-smoking, no or minimal alcohol use)

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4
Q

ASA 2

A

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)

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5
Q

ASA 3

A

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

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6
Q

ASA 4

A

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)

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7
Q

ASA 5

A

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)

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8
Q

ASA 6

A

a declared brain-dead patient whose organs are being removed for donor purposes

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9
Q

ASA 6

A

a declared brain-dead patient whose organs are being removed for donor purposes

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