III. Scoring: ASA 2 - Mild systemic disease
- Current Tobacco use
- Frequent social Alcohol use
- Pregnancy
- Obesity (BMI 30-40)
- Well controlled Diabetes Mellitus
- Mild lung disease
IV. Scoring: ASA 3 - Moderate to severe systemic disease with significant functional limitations
- Poorly controlled Diabetes Mellitus
- Poorly controlled Hypertension
- Moderate to severe COPD
- Morbid Obesity (BMI>40)
- Active hepatitis
- Alcohol Dependence or abuse
- Heart Failure with moderately reduced ejection fraction
- ESRD requiring regularly scheduled Dialysis
- History of coronary disease (MI, stents, bypass) with last event more than 3 months ago
- History of Cerebrovascular Disease (e.g. CVA, TIA) with last event more than 3 months ago
- Multisystem congenital disorders (e.g. Down Syndrome, Cerebral Palsy)
V. Scoring: ASA 4 - Severe systemic, life-threatening disease
- History of coronary disease (MI, stents, bypass) with last event LESS THAN 3 months ago, or ongoing cardiac ischemia
- History of Cerebrovascular Disease (e.g. CVA, TIA) with last event LESS THAN 3 months ago
- Severe valvular dysfunction or severe reduction in ejection fraction
- Sepsis or DIC
- Acute or Chronic Renal Failure not on regular Dialysis
VI. Scoring: ASA 5 - Moribund patient without expected survival through surgery
- Ruptured aortic aneurysm
- Massive Trauma
- Intracranial Bleeding with mass effect
- Ischemic Bowel with multiple, serious underlying comorbidities
VII. Scoring: ASA 6 - Brain Death
- Organ removal for donation
VIII. Resources
- American Society of Anesthesiologists (ASA)