Asa Class
Asa Class
Asa Class
ASA physical status Definition I Healthy II Mild systemic disease 3 months or 65 to 84 years Rest at completion because of distress III Severe systemic disease but not incapacitating 1 month preterm NB or 85 years Stop en route because of distress Unable to do IV Incapacitating disease Dying V VI Declared brain death
Age Functional capacity; walk up 1 flight of stair or 200 m. on the level Medical status
Single/multiple systemic disease(s) with good control No functional limitations or vital organ involvement
Poorly controlled systemic disease(s) Some functional limitations No immediate life threatening condition 1.8 4.3
Poorly controlled systemic disease(s) Significant functional limitation Constant potential threat to life 7.8 23
0.06 0.08
0.27 0.4
9.4 51
In addition to indicating ASA physical status, any patient undergoing an emergency operation is indicated by the suffix E, e.g., ASA III E
CVS
RS
Well controlled asthma (attack < 1 per week) Heavy smoker (> 20 pack year) without COPD Well controlled epilepsy Parkinsonism Dementia Alzeihmers disease GCS > 13
CNS
GI
Hematology
Symptomatic anemia (Hct < 25%) Thalassemia major Platelet < 50,000 INR > 1.5
Renal
ESRD with volume overload or uremia Hepatorenal syndrome Septic shock MODS
Others