ASA III A patient with Substantive functional limitations: one or more moderate to severe severe systemic diseases. Examples include (but not limited to): poorly controlled DM or disease HTN, COPD, morbid obesity (BMI ≥40), active hepatitis, alcohol dependence or abuse, implanted pacemaker, moderate reduction of ejection fraction, ESRD undergoing regularly scheduled dialysis, premature infant PCA < 60 weeks, history (>3 months) of MI, CVA, TIA, or CAD/stents. ASA IV A patient with Examples include (but not limited to): recent (< 3 months) MI, CVA, TIA, severe systemic or CAD/stents, ongoing cardiac ischemia or severe valve dysfunction, disease that is a severe reduction of ejection fraction, sepsis, DIC, ARD or ESRD not constant threat undergoing regularly scheduled dialysis to life ASA V A moribund Examples include (but not limited to): ruptured abdominal/thoracic patient who is aneurysm, massive trauma, intracranial bleed with mass effect, ischemic not expected to bowel in the face of significant cardiac pathology or multiple survive without organ/system dysfunction the operation ASA VI A declared patient whose organs are being removed for donor purposes
ASA III A patient with severe systemic disease Substantive functional limitations: one or more moderate to severe diseases. Examples include (but not limited to): poorly controlled DM or HTN, COPD, morbid obesity (BMI ≥40), active hepatitis, alcohol dependence or abuse, implanted pacemaker, moderate reduction of ejection fraction, ESRD undergoing regularly scheduled dialysis, premature infant PCA < 60 weeks, history (>3 months) of MI, CVA, TIA, or CAD/stents. ASA IV A patient with severe systemic disease that is a constant threat to life Examples include (but not limited to): recent (< 3 months) MI, CVA, TIA, or CAD/stents, ongoing cardiac ischemia or severe valve dysfunction, severe reduction of ejection fraction, sepsis, DIC, ARD or ESRD not undergoing regularly scheduled dialysis ASA V A moribund patient who is not expected to survive without the operation Examples include (but not limited to): ruptured abdominal/thoracic aneurysm, massive trauma, intracranial bleed with mass effect, ischemic bowel in the face of significant cardiac pathology or multiple organ/system dysfunction ASA VI A declared patient whose organs are being removed for donor purposes
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