ASA II A patient with mild Mild diseases only without substantive functional limitations. Examples include (but not systemic disease limited to): current smoker, social alcohol drinker, pregnancy, obesity (30 < BMI < 40), well-controlled DM/HTN, mild lung disease ASA III A patient with severe Substantive functional limitations: one or more moderate to severe diseases. Examples systemic disease include (but not limited to): poorly controlled DM or HTN, COPD, morbid obesity (BMI active hepatitis, alcohol dependence or implanted pacemaker, moderate ≥40), 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 grade Further explanation Definition ASA IV A patient with severe Examples include (but not limited to): recent (< 3 months) MI, CVA, TIA, or CAD/stents, systemic disease that ongoing cardiac ischemia or severe valve dysfunction, severe reduction of ejection is a constant threat fraction, sepsis, DIC, ARD or ESRD not undergoing regularly scheduled dialysis to life ASA V A moribund patient Examples include (but not limited to): ruptured abdominal/thoracic aneurysm, massive who is not expected trauma, intracranial bleed with mass effect, ischemic bowel in the face of significant to survive without cardiac pathology or multiple organ/system dysfunction the operation ASA VI A declared patient whose organs are being removed for donor purposes Select if the patient has had preoperative If so, 2.29 cardiopulmonary exercise testing. the results, if available, in the form provided (entering CPET data is optional). 2.30 Select one option which best describes the patient’s smoking history. Smoking includes all forms of inhaled tobacco.
ASA II A patient with mild systemic disease Mild diseases only without substantive functional limitations. Examples include (but not limited to): current smoker, social alcohol drinker, pregnancy, obesity (30 < BMI < 40), well-controlled DM/HTN, mild lung disease 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 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 grade Definition Further explanation 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 2.29 Select if the patient has had preoperative cardiopulmonary exercise testing. If so, the results, if available, in the form provided (entering CPET data is optional). 2.30 Select one option which best describes the patient’s smoking history. Smoking includes all forms of inhaled tobacco.
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