{"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\/anasa\/","title":{"rendered":"ASA Physical Status Classification"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" 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>The purpose of the grading system is simply to assess the degree of a patient\u2019s &#8220;sickness&#8221; or &#8220;physical state&#8221; prior to selecting the anesthetic or prior to performing surgery.<br \/>\n<!--more--><br \/>\n<strong>ASA Physical Status Classification<\/strong><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td style=\"width: 16.2671%;\"><strong> ASA PS Category<\/strong><\/td>\n<td style=\"width: 24.4863%;\"><strong> Preoperative Health Status <\/strong><\/td>\n<td style=\"width: 59.2466%;\"><strong> Comments, Examples<\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 16.2671%;\"><strong> ASA PS 1<\/strong><\/td>\n<td style=\"width: 24.4863%;\">Normal healthy patient<\/td>\n<td style=\"width: 59.2466%;\">No organic, physiologic, or psychiatric disturbance; excludes the very young and very old; healthy with good exercise tolerance<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 16.2671%;\"><strong> ASA PS 2<\/strong><\/td>\n<td style=\"width: 24.4863%;\">Patients with mild systemic disease<\/td>\n<td style=\"width: 59.2466%;\">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<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 16.2671%;\"><strong> ASA PS 3<\/strong><\/td>\n<td style=\"width: 24.4863%;\">Patients with severe systemic disease<\/td>\n<td style=\"width: 59.2466%;\">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<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 16.2671%;\"><strong> ASA PS 4<\/strong><\/td>\n<td style=\"width: 24.4863%;\">Patients with severe systemic disease that is a constant threat to life<\/td>\n<td style=\"width: 59.2466%;\">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<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 16.2671%;\"><strong> ASA PS 5<\/strong><\/td>\n<td style=\"width: 24.4863%;\">Moribund patients who are not expected to survive without the operation<\/td>\n<td style=\"width: 59.2466%;\">Not expected to survive &gt; 24 hours without surgery; imminent risk of death; multiorgan failure, sepsis syndrome with hemodynamic instability, hypothermia, poorly controlled coagulopathy<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 16.2671%;\"><strong> ASA PS 6<\/strong><\/td>\n<td style=\"width: 24.4863%;\">A declared brain-dead patient who organs are being removed for donor purposes<\/td>\n<td style=\"width: 59.2466%;\"><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p><strong>References:<\/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>Created: Jan 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>Sorry, this entry is only available in Espa\u00f1ol.<\/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\/wp-json\/wp\/v2\/posts\/2401","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=2401"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2401\/revisions"}],"predecessor-version":[{"id":8746,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2401\/revisions\/8746"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=2401"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=2401"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=2401"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}