Title |
The ASA classification and peri-operative risk
|
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Published in |
Annals of the Royal College of Surgeons of England, April 2011
|
DOI | 10.1308/147870811x565070a |
Pubmed ID | |
Authors |
Jo Fitz-Henry |
Abstract |
The ASA classification is an assessment of the patient’s preoperative physical status. On its own, the ASA classification of physical status is not a predictor of operative risk. Operative risk is a combination of: the physical status of the patient; the physiological derangement that the procedure will cause; the skill and experience of the operator; the skill and experience of the anaesthetist (including the choice of anaesthetic); and the physiological support service in the peri-operative period (including pre-operative optimisation and critical care). A patient for an elective procedure with an ASA grade of 3 or 4 needs a consultation with a senior anaesthetist as far before the proposed surgery as is possible. This will enable the patient’s physical condition to be optimised with better post-operative outcome and will reduce the chance of ‘on the day’ cancellation due to being medically unfit. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 2 | 67% |
Unknown | 1 | 33% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 2 | 67% |
Practitioners (doctors, other healthcare professionals) | 1 | 33% |