![]() To help determine the utility of the examples in improving class assignment, Dr. “So, if you are assigning a patient an ASA I or II physical status and undervaluing comorbidities that actually make them an ASA III, you may be putting patient safety at risk in certain situations.” “Part of the reason behind the 2014 development of the examples that accompany the ASA physical status classification system stems from the fact that the system is not used exclusively by professionals trained in anesthesia care,” stated Erin Hurwitz, MD, who was assistant professor of anesthesiology at The University of Texas Medical Branch at Galveston when the study was performed. Examples include (but not limited to): current smoker, social alcohol drinker, pregnancy, obesity (30 3 mo) of MI, CVA, TIA or CAD/stentsĪ patient with severe systemic disease that is a constant threat to lifeĮxamples include (but not limited to): recent (<3 mo) 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 dialysisĪ moribund patient who is not expected to survive without the operationĮxamples 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 dysfunctionĪ declared brain-dead patient whose organs are being removed for donor purposesĪRD, acid reflux disease ASA, American Society of Anesthesiologists BMI, body mass index CAD, coronary artery disease COPD, chronic obstructive pulmonary disease CVA, cerebral vascular accident DIC, disseminated intravascular coagulation DM, diabetes mellitus, ESRD, end-stage renal disease HTN, hypertension MI, myocardial infarction PCA, postconceptual age PS, physical status TIA, transient ischemic attack Mild diseases only without substantive functional limitations. Healthy, nonsmoking, no or minimal alcohol use ASA Physical Status Classifications and Examples This problem can be ameliorated, a recent study has found, with the use of ASA-approved class-specific examples, which help anesthesia and nonanesthesia providers alike substantially increase their ability to determine the correct ASA class (Table 1). Despite being an important part of clinical practice for more than five decades, the American Society of Anesthesiologists (ASA) physical status classification system occasionally is criticized for its subjective nature, a trait that can lead to inconsistent assignments among health care professionals.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |