Perioperative: ASA Classifications

Question 1

ASA I

Answer 1

Normal, healthy patient

Question 2

Which stage of ASA?

Healthy, non-smoking, no / minimal alcohol use

Answer 2

ASA I

Question 3

ASA II

Answer 3

Patient with mild systemic disease

Question 4

Which stage of ASA?

Mild disease only without substantive functional changes. (Smoker, social alcohol drinker, pregnancy, obesity, well-controlled DM/HTN, mild lung disease)

Answer 4

ASA II

Question 5

ASA III

Answer 5

Patient with severe systemic disease

Question 6

Which stage of ASA?

Substantive functional changes with one or more moderate-to-severe diseases (poorly controlled DM/HTN, COPD, morbid obesity, active hepatitis, alcohol dependence, implanted pacemaker, moderate reduction of cardiac ejection fraction)

Answer 6

ASA III

Question 7

ASA IV

Answer 7

Patient with severe systemic disease that is a constant threat to life

Question 8

Which stage of ASA?

Recent (<3 mo) MI, CVA, TIA, ongoing cardiac ischemia or severe valve dysfunction, sepsis, ESRD w/o dialysis)

Answer 8

ASA IV

Question 9

ASA V

Answer 9

Moribund patient who is not expected to survive without the operation

Question 10

Which stage of ASA?

Patient with ruptured abdominal / thoracic aneurysm, massive trauma, intracranial bleed with mass effect, ischemic bowel with significant cardiac pathology

Answer 10

ASA V

Question 11

ASA VI

Answer 11

Patient who has been declared brain dead whose organs are being removed for donor purposes