ASA Guidelines
1
American Society or Table 1: Current definitions (NO CHANGE) rnd Examples (NEW) Anesthes:ologists' ASA PHYSICAL STATUS CLASSIFICATION SYSTEM Lrst rpproved by the ASA Ho[se ofD€l€g.tes on October 15,2014 ASA PS Classilicalion D€fini.ion Exrmples, includinB but not limited to: ASA I A normal heakhy patienl Heal$y, non-smoking. no or minimal alcohol ASA II A parient wiih mild systemic disease Mild diseases only without subslantive functional limitations. Examples include (but not limited to): current smoker, social alcohol drinker, pregnancy, obesity (30<BMI<40), well- conlrolled DM,4ITN. mild luns disease ASA III A Daiient with severe Substantive functional limitations; One or more moderate to severe diseases. Examples include (but not limited to): poorly conrolled Dlvl or HfN, COPD, morbid obesity (BMI >40), active hepatitis, alcohol dependence or abuse, implanted pacemaker, moderate reduction of ejeclion fraclion. ESRD undergoing regularly scheduled dialysis, premature infant PCA < 60 weeks, history (>3 months) of MI, CVA. TIA. or CAD/sients- ASA IV A patient with severe systemic disease ftat is a constant threat to life Examples include (but not limited to): recent (<3 monlhs) Ml. CVA. TIA. or CAD/slenrs. ongoing cardiac ischemia or severe valve dysfunction, severe reduction ofeiection fraclion, sepsis, DlC, ARD or ESRD not undergoing regularly scheduled dialvsis ASA V A moribund patient who is not expected to survive without the operarion Examples include (but not limited to): ruptured abdominal^horacic aneurysm, massive trauma, intracranial bleed with mass effect, ischemic bowel in rhe face ofsignificanl cardiac patholosr or muhiple organ/syslem dysfunclion ASA VI A declared brain-dead patient whose organs are being.emoved for donor *The addition of"E" denorcs Ernergency surgery: (An emergency is defined as existing when delay in treatment ofthe patient would lead to a significant increase in the threat ro life or hodv oart) l
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American Society or
Table 1: Current definitions (NO CHANGE) rnd Examples (NEW)
Anesthes:ologists'
ASA PHYSICAL STATUS CLASSIFICATION SYSTEM
Lrst rpproved by the ASA Ho[se ofDlg.tes on October 15,2014
ASA PSClassilicalion
Dfini.ion Exrmples, includinB but not limited to:
ASA IA normal heakhy patienl Heal$y, non-smoking. no or minimal alcohol
ASA II
A parient wiih mild systemicdisease
Mild diseases only without subslantivefunctional limitations. Examples include (but notlimited to): current smoker, social alcoholdrinker, pregnancy, obesity (303 months) of MI,CVA. TIA. or CAD/sients-
ASA IV
A patient with severesystemic disease ftat is aconstant threat to life
Examples include (but not limited to): recent (
