{"id":2401,"date":"2011-12-30T12:20:06","date_gmt":"2011-12-30T12:20:06","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/anasa\/"},"modified":"2025-05-13T20:28:25","modified_gmt":"2025-05-13T20:28:25","slug":"anasa","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/anasa\/","title":{"rendered":"Clasificaci\u00f3n del Estado F\u00edsico de la ASA"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p><span class=\"hps\">El prop\u00f3sito del<\/span>\u00a0<span class=\"hps\">sistema de clasificaci\u00f3n<\/span>\u00a0<span class=\"hps\">es simplemente<\/span>\u00a0<span class=\"hps\">evaluar el grado de<\/span>\u00a0<span class=\"hps\">\u00abenfermedad\u00bb<\/span>\u00a0<span class=\"hps\">del paciente o<\/span>\u00a0<span class=\"hps atn\">\u00ab<\/span>estado f\u00edsico\u00bb\u00a0<span class=\"hps\">antes de seleccionar el<\/span>\u00a0a<span class=\"hps\">nest\u00e9sico o<\/span>\u00a0<span class=\"hps\">realizar<\/span>\u00a0<span class=\"hps\">la cirug\u00eda.<\/span><br \/>\n<!--more--><br \/>\n<strong>Clasificaci\u00f3n del Estado F\u00edsico de la ASA<\/strong><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td style=\"width: 13.6986%;\"><strong>Categor\u00eda ASA<\/strong><\/td>\n<td style=\"width: 22.2603%;\"><strong>Estado de Salud Preoperatorio<\/strong><\/td>\n<td style=\"width: 64.0411%;\"><strong>Comentarios, Ejemplos<\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 13.6986%;\"><strong>\u00a0ASA 1<\/strong><\/td>\n<td style=\"width: 22.2603%;\">Paciente sano normal<\/td>\n<td style=\"width: 64.0411%;\">Ausencia de alteraci\u00f3n org\u00e1nica, fisiol\u00f3gica, o psiqui\u00e1trica; excluye a los muy j\u00f3venes y muy viejos; sanos con buena tolerancia al ejercicio<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 13.6986%;\"><strong>\u00a0ASA 2<\/strong><\/td>\n<td style=\"width: 22.2603%;\">Pacientes con enfermedad sist\u00e9mica leve<\/td>\n<td style=\"width: 64.0411%;\">Sin limitaciones funcionales, tiene una enfermedad bien controlada de un sistema corporal, hipertensi\u00f3n o diabetes controlada sin efectos sist\u00e9micos, tabaquismo sin enfermedad pulmonar obstructiva cr\u00f3nica (EPOC), obesidad leve, embarazo<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 13.6986%;\"><strong>\u00a0ASA 3<\/strong><\/td>\n<td style=\"width: 22.2603%;\">Pacientes con enfermedad sist\u00e9mica severa<\/td>\n<td style=\"width: 64.0411%;\">Alguna limitaci\u00f3n funcional, tiene una enfermedad controlada de m\u00e1s de un sistema corporal o de un sistema mayor; no hay peligro inmediato de muerte; insuficiencia card\u00edaca congestiva controlada (ICC), angina de pecho estable, infarto de miocardio antiguo, hipertensi\u00f3n arterial pobremente controlada, obesidad m\u00f3rbida, insuficiencia renal cr\u00f3nica; enfermedad broncoesp\u00e1stica con s\u00edntomas intermitentes<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 13.6986%;\"><strong>\u00a0ASA 4<\/strong><\/td>\n<td style=\"width: 22.2603%;\">Pacientes con enfermedad sist\u00e9mica severa que amenaza en forma constante la vida<\/td>\n<td style=\"width: 64.0411%;\">Presenta al menos una enfermedad severa que est\u00e1 pobremente controlada o en etapa terminal; posible riesgo de muerte; angina inestable, EPOC sintom\u00e1tica, ICC sintom\u00e1tica, insuficiencia hepatorrenal<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 13.6986%;\"><strong>\u00a0ASA 5<\/strong><\/td>\n<td style=\"width: 22.2603%;\">Pacientes moribundos que no se espera que sobrevivan sin la operaci\u00f3n<\/td>\n<td style=\"width: 64.0411%;\">No se espera que sobreviva m\u00e1s de 24 horas sin cirug\u00eda; riesgo inminente de muerte; fallo multiorg\u00e1nico, s\u00edndrome de sepsis con inestabilidad hemodin\u00e1mica, hipotermia, y coagulopat\u00eda pobremente controlada<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 13.6986%;\"><strong>\u00a0ASA 6<\/strong><\/td>\n<td style=\"width: 22.2603%;\">Paciente con muerte cerebral declarada, y los \u00f3rganos est\u00e1n siendo removidos para donaci\u00f3n<\/td>\n<td style=\"width: 64.0411%;\"><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Owens WD, Felts JA, Spitznagel EL Jr. ASA physical status classifications: a study of consistency of ratings. Anesthesiology. 1978 Oct;49(4):239-43. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/697077\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Mak PH, Campbell RC, Irwin MG; American Society of Anesthesiologists. The ASA Physical Status Classification: inter-observer consistency. American Society of Anesthesiologists. Anaesth Intensive Care. 2002 Oct;30(5):633-40. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/12413266\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado: Ene 30, 2012.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>El prop\u00f3sito del\u00a0sistema de clasificaci\u00f3n\u00a0es simplemente\u00a0evaluar el grado de\u00a0\u00abenfermedad\u00bb\u00a0del paciente o\u00a0\u00abestado f\u00edsico\u00bb\u00a0antes de seleccionar el\u00a0anest\u00e9sico o\u00a0realizar\u00a0la cirug\u00eda.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[425],"tags":[1127,1126,1125,1124,166,167,543,363,362,547],"class_list":["post-2401","post","type-post","status-publish","format-standard","hentry","category-anesthesiology","tag-anestesia","tag-asa","tag-categoria","tag-category","tag-clasificacion","tag-classification","tag-estado","tag-fisico","tag-physical","tag-status"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2401","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=2401"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2401\/revisions"}],"predecessor-version":[{"id":8746,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2401\/revisions\/8746"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2401"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2401"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2401"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}