Recent (<3 months) MI, CVA, TIA or CAD/stents, ongoing cardiac ischemia or severe valve dysfunction, severe reduction of ejection fraction, shock, sepsis, DIC, ARD or ESRD not undergoing regularly scheduled dialysis Preeclampsia with severe features, gestational DM with complications or high insulin requirements, a thrombophilic disease requiring anticoagulation. Uncorrected stable congenital cardiac abnormality, asthma with exacerbation, poorly controlled epilepsy, insulin dependent diabetes mellitus, morbid obesity, malnutrition, severe OSA, oncologic state, renal failure, muscular dystrophy, cystic fibrosis, history of organ transplantation, brain/spinal cord malformation, symptomatic hydrocephalus, premature infant PCA <60 weeks, autism with severe limitations, metabolic disease, difficult airway, long term parenteral nutrition. Current smoker, social alcohol drinker, pregnancy, obesity (303 months) of MI, CVA, TIA, or CAD/stents. Mild diseases only without substantive functional limitations. Healthy (no acute or chronic disease), normal BMI percentile for age Healthy, non-smoking, no or minimal alcohol Obstetric Examples, Including but not Limited to: Pediatric Examples, Including but not Limited to: While the Physical Status classification may initially be determined at various times during the preoperative assessment of the patient, the final assignment of Physical Status classification is made on the day of anesthesia care by the anesthesiologist after evaluating the patient.Ĭurrent Definitions and ASA-Approved Examples ASA PS ClassificationĪdult Examples, Including, but not Limited to: To improve communication and assessments at a specific institution, anesthesiology departments may choose to develop institutional-specific examples to supplement the ASA-approved examples.Īssigning a Physical Status classification level is a clinical decision based on multiple factors. The definitions and examples shown in the table below are guidelines for the clinician. The classification system alone does not predict the perioperative risks, but used with other factors (eg, type of surgery, frailty, level of deconditioning), it can be helpful in predicting perioperative risks. The purpose of the system is to assess and communicate a patient’s pre-anesthesia medical co-morbidities. The ASA Physical Status Classification System has been in use for over 60 years. Last Amended: Decem(original approval: October 15, 2014)
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