Klasifikasi ASA

Yusuf Ali QuddusiLuthfan Malik

Klasifikasi ASA

• Suatu sistem untuk menilai kesehatan pasien sebelum operasi.

• Tahun 1963 American Society of Anesthesiologist (ASA) mengadopsi sistem klasifikasi status 5 kategori fisik

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ASA I

• Patients are considered to be normal and healthy. 

• Little or no anxiety.  Little or no risk. 

• This classification represents a "green flag" for treatment

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ASA II

• Patients have mild to moderate systemic disease or are healthy ASA I patients who demonstrate a more extreme anxiety and fear toward dentistry.

• Minimal risk during treatment.  This classification represents a "yellow flag" for treatment.

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• Examples: History of well-controlled disease states including non-insulin dependent diabetes, prehypertension, epilepsy, asthma, or thyroid conditions; ASA I with a respiratory condition, pregnancy, and/or active allergies. May need medical consultation.

ASA III

• Patients have severe systemic disease that limits activity,

• This classification represents a "yellow flag" for treatment.

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• Examples: History of angina pectoris, myocardial infarction, congestive heart failure over six months ago, slight chronic obstructive pulmonary disease, and controlled insulin dependent diabetes or hypertension.

ASA IV

• Patients have severe systemic disease that limits activity and is a constant threat to life. 

• This classification represents a "red flag" ‑ a warning flag indicating that the risk involved in treating the patient is too great to allow elective care to proceed. 

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• Examples: History of unstable angina pectoris, myocardial infarction or cerebrovascular, severe congestive heart failure, moderate to severe chronic obstructive pulmonary disease, and uncontrolled diabetes, hypertension, epilepsy, or thyroid condition.

ASA V

• Patients are moribund and are not expected to survive more than 24 hours with or without an operation. These patients are almost always hospitalized, terminally ill patients.

• This classification represents a “red flag"

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• Example : old patient with bleeding basis cranii and hemoragic shock because ruptur hepatic.

Daftar Pustaka

• http://boards.medscape.com/forums/.29d6577c/61

• bja.oxfordjournals.org/content/77/2/217.full.pdf

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