asa status classification system

ASA Physical Status Classification System © Copyright 1995-2010 The Cleveland Clinic Foundation. All rights reserved. ! ! " # " ASA PS Category Preoperative Health Status Comments, Examples *ASA PS classifications from the American Society of Anesthesiologists ASA PS 1 Normal healthy patient No organic, physiologic, or psychiatric disturbance; excludes the very young and very old; healthy with good exercise tolerance ASA PS 2 Patients with mild systemic disease No functional limitations; has a well-controlled disease of one body system; controlled hypertension or diabetes without systemic effects, cigarette smoking without chronic obstructive pulmonary disease (COPD); mild obesity, pregnancy ASA PS 3 Patients with severe systemic disease Some functional limitation; has a controlled disease of more than one body system or one major system; no immediate danger of death; controlled congestive heart failure (CHF), stable angina, old heart attack, poorly controlled hypertension, morbid obesity, chronic renal failure; bronchospastic disease with intermittent symptoms +ASA PS 4 Patients with severe systemic disease that is a constant threat to life Has at least one severe disease that is poorly controlled or at end stage; possible risk of death; unstable angina, symptomatic COPD, symptomatic CHF, hepatorenal failure +ASA PS 5 Moribund patients who are not expected to survive without the operation Not expected to survive > 24 hours without surgery; imminent risk of death; multiorgan failure, sepsis syndrome with hemodynamic instability, hypothermia, poorly controlled coagulopathy +ASA PS 6 A declared brain-dead patient who organs are being removed for donor purposes

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Page 1: ASA Status Classification System

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ASA Physical Status Classification System

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ASA PS Category

Preoperative Health Status

Comments, Examples

*ASA PS classifications from the American Society of Anesthesiologists

ASA PS 1 Normal healthy patient No organic, physiologic, or psychiatric disturbance; excludes the very young and very old; healthy with good exercise tolerance

ASA PS 2 Patients with mild systemic disease

No functional limitations; has a well-controlled disease of one body system; controlled hypertension or diabetes without systemic effects, cigarette smoking without chronic obstructive pulmonary disease (COPD); mild obesity, pregnancy

ASA PS 3 Patients with severe systemic disease

Some functional limitation; has a controlled disease of more than one body system or one major system; no immediate danger of death; controlled congestive heart failure (CHF), stable angina, old heart attack, poorly controlled hypertension, morbid obesity, chronic renal failure; bronchospastic disease with intermittent symptoms

+ASA PS 4 Patients with severe systemic disease that is a constant threat to life

Has at least one severe disease that is poorly controlled or at end stage; possible risk of death; unstable angina, symptomatic COPD, symptomatic CHF, hepatorenal failure

+ASA PS 5

Moribund patients who are not expected to survive without the operation

Not expected to survive > 24 hours without surgery; imminent risk of death; multiorgan failure, sepsis syndrome with hemodynamic instability, hypothermia, poorly controlled coagulopathy

+ASA PS 6

A declared brain-dead patient who organs are being removed for donor purposes

Cisco ASA 5505, ASA 5510, ASA 5520, ASA 5540, ASA 5550, ASA

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