ASA Classification
Standardizes preoperative physical status and anesthetic risk assessment.
EMERGENCY SURGERY (E)
ASA1
Normal healthy patient
Healthy, non-smoker, minimal or no alcohol use.
ASA2
Patient with mild systemic disease
No functional limitations. E.g., current smoker, pregnancy, obesity, controlled HTN/DM.
ASA3
Patient with severe systemic disease
Substantive functional limitations. E.g., poorly controlled HTN/DM, COPD, morbid obesity, dialysis.
ASA4
Severe systemic disease that is a constant threat to life
E.g., recent (<3 months) MI/CVA, sepsis, severe valve dysfunction, advanced organ failure.
ASA5
Moribund patient not expected to survive without surgery
E.g., ruptured aneurysm, massive trauma, intracranial bleed with mass effect.
ASA6
Declared brain-dead organ donor
Patient whose organs are being removed for donor purposes.
ASA 1
Physical Status
Normal healthy patient