ASA PHYSICAL STATUS CLASSIFICATION SYSTEM Last approved by the ASA House of Delegates on October 15, 2014 able 1! "urrent def#n#t#ons $%O "HA%&'( and ')a*ples $%'+( ASA ,S "lass#f#cat#onDef#n#t#on')a*ples, #nclud#ng, but not l#*#ted to! ASA -A normal healthy patientHealthy, non-smoking, no or minimal alcohol use ASA --A patient with mild systemic disease Mild diseases only without substantive functional limitations.Examples include but not limitedto!" current smoker, social alcoholdrinker, pregnancy, obesity #$%&M'%($!, well-controlled )M*H+,, mild lung disease ASA ---A patient with severe systemic disease -ubstantive functional limitations. /ne or more moderate to severe diseases. Examples include but not limited to!" poorly controlled )M or H+,, 0/1), morbid obesity &M' 2($!, active hepatitis, alcohol dependence or abuse, implanted pacemaker, moderate reduction of e3ection fraction, E-4) undergoing regularly scheduled dialysis, premature infant 10A % 5$ weeks, history 6# months! of M', 07A, +'A, or 0A)*stents. ASA -.A patient with severe systemic disease that is a constant threat to life Examples include but not limitedto!" recent %# months! M', 07A, +'A, or 0A)*stents, ongoing cardiac ischemia or severe valve dysfunction, severe reduction of e3ection fraction, sepsis, )'0, A4) or E-4) not undergoing regularly scheduled dialysis ASA .A moribund patient who is not expected to survive without the operation Examples include but not limitedto!" ruptured abdominal*thoracic aneurysm, massive trauma, intracranial bleed with mass effect, ischemic bowel in the face of significant cardiac pathology or multiple organ*system dysfunction ASA .-A declared brain-dead patient whose organs are being removed for donor purposes 8+he addition of 9E: denotes Emergency surgery" An emergency is defined as existing when delay in treatment of the patient would lead to a significant