Klasifikasi ASA
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Transcript of Klasifikasi ASA
Klasifikasi ASA
Yusuf Ali QuddusiLuthfan Malik
Klasifikasi ASA
• Suatu sistem untuk menilai kesehatan pasien sebelum operasi.
• Tahun 1963 American Society of Anesthesiologist (ASA) mengadopsi sistem klasifikasi status 5 kategori fisik
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ASA I
• Patients are considered to be normal and healthy.
• Little or no anxiety. Little or no risk.
• This classification represents a "green flag" for treatment
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ASA II
• Patients have mild to moderate systemic disease or are healthy ASA I patients who demonstrate a more extreme anxiety and fear toward dentistry.
• Minimal risk during treatment. This classification represents a "yellow flag" for treatment.
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• Examples: History of well-controlled disease states including non-insulin dependent diabetes, prehypertension, epilepsy, asthma, or thyroid conditions; ASA I with a respiratory condition, pregnancy, and/or active allergies. May need medical consultation.
ASA III
• Patients have severe systemic disease that limits activity,
• This classification represents a "yellow flag" for treatment.
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• Examples: History of angina pectoris, myocardial infarction, congestive heart failure over six months ago, slight chronic obstructive pulmonary disease, and controlled insulin dependent diabetes or hypertension.
ASA IV
• Patients have severe systemic disease that limits activity and is a constant threat to life.
• This classification represents a "red flag" ‑ a warning flag indicating that the risk involved in treating the patient is too great to allow elective care to proceed.
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• Examples: History of unstable angina pectoris, myocardial infarction or cerebrovascular, severe congestive heart failure, moderate to severe chronic obstructive pulmonary disease, and uncontrolled diabetes, hypertension, epilepsy, or thyroid condition.
ASA V
• Patients are moribund and are not expected to survive more than 24 hours with or without an operation. These patients are almost always hospitalized, terminally ill patients.
• This classification represents a “red flag"
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• Example : old patient with bleeding basis cranii and hemoragic shock because ruptur hepatic.
Daftar Pustaka
• http://boards.medscape.com/forums/.29d6577c/61
• bja.oxfordjournals.org/content/77/2/217.full.pdf
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