Questions and Answers
What is the purpose of the ASA Classification System?
Assess & communicate a patient's pre-anesthesia medical co-morbidities
When is the final Physical Status classification made?
On the day of anesthesia care by the anesthesiologist after evaluating the patient
What does ASA I classification represent?
A normal healthy patient
Why is a normal pregnancy considered ASA II?
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What does ASA II classification define?
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What adult ASA classification does a patient with mild disease only without substantive functional limitations have?
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What is the ASA classification for a current smoker and social alcohol drinker?
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What ASA classification corresponds to a patient with obesity and at least one of MI, CVA, TIA, or CAD/Stents?
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What ASA classification is a pediatric patient with uncorrected stable congenital cardiac abnormality?
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What classification applies to a pediatric patient with asthma exacerbation?
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What ASA classification does a pediatric patient with poorly controlled epilepsy have?
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What ASA classification is assigned to a pediatric patient with insulin dependent diabetes mellitus?
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What classification does a pediatric patient with morbid obesity fall under?
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What ASA classification is given to a pediatric patient with malnutrition?
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What ASA classification applies to a pediatric patient with severe obstructive sleep apnea?
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What ASA classification is assigned to a pediatric patient in an oncologic state?
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What ASA classification is given to a pediatric patient with renal failure?
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What ASA classification does a pediatric patient with muscular dystrophy have?
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What ASA classification applies to a pediatric patient with cystic fibrosis?
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What ASA classification does a pediatric patient with a history of organ transplantation have?
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What ASA classification is a pediatric patient with brain or spinal cord malformation assigned?
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What ASA classification does a pediatric patient with symptomatic hydrocephalus have?
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What ASA classification is assigned to a pediatric patient that was a premature infant with PCA < 60 weeks?
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What ASA classification does a pediatric patient with autism and severe limitations fall under?
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What ASA classification is given to a pediatric patient with a metabolic disease?
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What ASA classification does a pediatric patient with a difficult airway have?
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What ASA classification applies to a pediatric patient with long-term parenteral nutrition?
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What ASA classification is assigned to a full-term infant younger than 6 weeks?
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What ASA classification does a pregnant patient with preeclampsia with severe features fall under?
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What ASA classification is given to a pregnant patient with gestational diabetes with complications or high insulin requirements?
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What ASA classification applies to a pregnant patient with a thrombophilic disease requiring anticoagulation?
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What does ASA IV classification signify?
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What ASA classification does an adult patient with a recent (< 3 months) history of MI, CVA, TIA or CAD/stents have?
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What ASA classification is assigned to an adult patient with ongoing cardiac ischemia or severe valve dysfunction?
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What ASA classification applies to an adult patient with a severe reduction of ejection fraction?
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What ASA classification is designated to an adult patient in shock?
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What ASA classification does an adult patient with sepsis fall under?
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What ASA classification is given to an adult patient in disseminated intravascular coagulation (DIC)?
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What ASA classification applies to an adult patient with acute respiratory distress (ARD) or end-stage renal disease (ESRD) not undergoing regularly scheduled dialysis?
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Study Notes
ASA Classification System Overview
- Aims to assess and communicate a patient's pre-anesthesia medical co-morbidities.
- Final Physical Status classification confirmed on the day of anesthesia care by the anesthesiologist after patient evaluation.
ASA I Classification
- Represents a normal healthy patient.
ASA II Classification
- Defined as a patient with mild systemic disease.
- Includes patients with mild disease without significant functional limitations.
- Examples include:
- Normal pregnancy is classified as ASA II due to altered physical state.
- Current smoker or social alcohol drinker.
ASA III Classification
- Describes a patient with severe systemic disease but not a constant threat to life.
- Examples of conditions classified as ASA III include:
- Obesity (BMI ≥ 30) within three months of myocardial infarction (MI), cerebrovascular accident (CVA), transient ischemic attack (TIA), or coronary artery disease (CAD)/stents.
- Pediatric patients with uncorrected stable congenital cardiac abnormalities, asthma exacerbations, poorly controlled epilepsy, insulin-dependent diabetes mellitus (DM), and morbid obesity.
- Pediatric patients with malnutrition, severe obstructive sleep apnea (OSA), oncologic states, renal failure, muscular dystrophy, cystic fibrosis, a history of organ transplantation, brain or spinal cord malformations, symptomatic hydrocephalus, being born premature (PCA < 60 weeks), severe limitations from autism, metabolic diseases, difficult airways, long-term parenteral nutrition, infants under six weeks, and pregnant patients with severe preeclampsia, gestational diabetes with complications, or thrombophilic diseases needing anticoagulation.
ASA IV Classification
- Represents patients with severe systemic disease that poses a constant threat to life.
- Examples include:
- Recent (< 3 months) history of MI, CVA, TIA, or CAD/stents.
- Ongoing cardiac ischemia or severe valve dysfunction.
- Severe reduction in ejection fraction (EF), shock, sepsis, disseminated intravascular coagulation (DIC), and acute or end-stage renal disease (ARD/ESRD) not undergoing regular dialysis.
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Test your knowledge of the ASA Classification System with these comprehensive flashcards. Each card focuses on key aspects such as the purpose of the system, classification levels, and the evaluation process by anesthesiologists. Perfect for students and professionals in medical fields.
