A review of ASA physical status - historical perspectives and modern developments

Anaesthesia. 2019 Mar;74(3):373-379. doi: 10.1111/anae.14569. Epub 2019 Jan 15.

Abstract

The American Society of Anesthesiologists (ASA) physical status is a tool commonly used to classify a patient's physical fitness before surgery. Since its introduction in 1941 it has undergone very few modifications to improve its reliability and to eliminate subjectivity, despite vast changes in both surgical and anaesthetic technique. We present the history of the ASA physical status and review the literature on its applicability to contemporary anaesthetic practice.

Keywords: ASA physical status.

Publication types

  • Review

MeSH terms

  • Anesthesiology / standards*
  • Health Status Indicators*
  • Humans
  • Physical Fitness
  • Quality Improvement
  • Societies, Medical / standards*
  • United States