[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-387311-105":59,"doc-detail-387311-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","asa-surgical-risk-classifications-guidelines-for-classes-i-to-iv","ASA Surgical Risk Classifications - Guidelines for Classes I to IV","","ASA classifications define preoperative surgical risk categories based on the patient’s physiological and psychiatric status, age, smoking history, medication use, and specific medical conditions. The document outlines criteria for Classes I through IV, including when medical consultation and specialty consultation are required, plus examples such as controlled hypertension, diabetes, sleep apnea, cardiac rhythm issues, pacemakers, and severe life-threatening disease. It also specifies minimum laboratory and test requirements by age and ASA class, guidance for managing blood thinners, and acceptable timing and validity windows for tests.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/asa-surgical-risk-classifications-guidelines-for-classes-i-to-iv/387311/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/asa-surgical-risk-classifications-guidelines-for-classes-i-to-iv/387311.png","ImageObject",300,407,{"name":92,"@type":93},"AfterMidnight","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-22","2026-09-24",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What criteria define ASA Class I and what testing is required?","Question",{"text":112,"@type":113},"Class I applies when there are no physiological or psychiatric disturbances, the patient is under 50, is a non-smoker, and takes no medication. For a Class I patient under 50, no testing is required.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"When does a patient fall into ASA Class II and what key examples are given?",{"text":117,"@type":113},"Class II includes mild to moderate systemic disturbances from the condition to be treated or other pathophysiologic processes that do not limit activity. Examples include current smoker, age over 65 or less than 3 months old requiring consult, controlled asthma, well-controlled hypertension, sleep apnea, stable angina, mild diabetes, mild to moderate obesity, and stable COPD.",{"name":119,"@type":110,"acceptedAnswer":120},"What are the minimum laboratory and test requirements and how are blood thinners managed before surgery?",{"text":121,"@type":113},"The document lists required tests by age and ASA class: for example, Class I ages 50–65 include HBG, BUN, CR, GLU, UA, and EKG, while Class I 65+ and Classes II–V require CBC, CMP, UA, and EKG. It advises patients ideally be off aspirin/aspirin products and blood thinners for a week prior to surgery, and if a PT/INR is needed, evaluate when off Coumadin for at least 5 days. It also states test validity windows such as blood tests valid for 1 month and EKG valid for 6 months.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},387311,1790978846,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":24,"preview_page_count":4},962090896061,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","ASA Classifications:  \nClass I: Few patients will truly be in this category.  \nThe patient has no physiological, or psychiatric disturbances whatsoever, is less than 50 years old, a non-smoker, and takes no medication.  \nExceptions: Birth Control Pills, Estrogen Replacement Therapy, Prophylactic Salicilates (aspirin), but without any cardiac history i.e. atrial fib or stent.  \nClass II: Most patients will be in this classification therefore, requiring lab work.  \nThe patient has mild to moderate systemic disturbances caused either by the condition to be treated surgically or by other pathophysiologic processes.  \nThese disturbances do not limit activity.  \nExamples:  \n• Current smoker  \n• Age over 65 years or less than 3 months old will automatically require a medical consult  \n• Asthma, well controlled on as needed basis for medication.  \n• Hypertension well controlled with medication and/or diet; HTN requires an EKG at any age  \n• History of heart dysrythmia (heart rhythm issue) controlled on medication  \n• Obstructive Sleep Apnea (OSA)  \n• Stable Angina, well controlled, not limiting activity  \n• Mild Diabetes, well controlled on medication  \n• Mild to moderate obesity  \n• History of seizure disorder, controlled with medication  \n• History of Congestive Heart Failure, controlled on medication  \n• COPD, stable  \n• Chronic Bronchitis  \n• History of Hepatitis C or Cirrhosis stable, not limiting activity  \n• Renal Insufficiency, stable  \nClass III: Many patients are actually in this classification and require a medical consult.  \nThe patient has serious systemic disturbances or diseases, even though it may be impossible to define the degree of disability. The disease process limits activity in some way, but is not incapacitating.  \n¾ Appropriate specialty consultation, where deemed necessary is also required.  \ni.e., patients with issues such as: pain management, insulin pumps, or pacemakers. Examples:  \n• Any combination of 3 or more of the disease processes listed for a Class II patient.  \n• Any single disease process listed for a Class II patient with one or more of these criteria:  \n• Intense severity  \n• Poorly controlled on medication  \n• Limits activity in some way  \n• “Heart attack”, a healed myocardial infarction (MI) of more than 6 months ago, or patients who have undergone coronary artery bypass surgery (CABG), valve replacement or angioplasty.  \n• Pacemaker, Internal Cardiac Defibrillator (ICD), sometimes CABG patients also have these.  \n• Diabetes with complications to vascular or other organs, i.e., retinopathy, neuropathy, etc.  \n• Chronic Pain Management patients taking daily pain medication must have a consultation with a Valley pain management physician prior to the day of surgery for the purpose of pain management during the immediate post-op period while in the post anesthesia care unit.  \n\n|  |  |  |\n| --- | --- | --- |\n|  | • Pulmonary insufficiency, including asthma, requiring the use of chronic medications and which limit activity or have uncontrolled symptoms, i.e., shortness of breath, cannot lay flat.\u003Cbr>• Any implantable electronic device (IED) i.e., for pain, insulin, deafness, etc.\u003Cbr>• Renal failure requiring Dialysis\u003Cbr>Class IV: These patients are not candidates for surgery at the Luckow Pavilion.\u003Cbr>The patient has severe systemic disease that is already life threatening. Examples:\u003Cbr>• Organic heart disease with marked signs of cardiac insufficiency (i.e, NYHA class 4) .\u003Cbr>• Recent myocardial infarction of less than 6 months duration.\u003Cbr>• Unstable angina.\u003Cbr>• Patients with advanced degrees of pulmonary, renal or endocrine insufficiency.\u003Cbr>Minimum Laboratory/Test Requirements:\u003Cbr>Minimal laboratory and testing requirements are defined by patient grouping based on the American Society of Anesthesiology (ASA) Classifications as follows:\u003Cbr>Class I patient less than 50 years old, non-smoker, no medications, no disease: No testing required\u003Cbr>Class I patient between 50 and 65 years old: HBG, BU","cbCaivMs0IVEssS7","https://ap.wps.com/l/cbCaivMs0IVEssS7","pdf",34892,"English","# ASA Classifications\n## Class I\n## Class II\n## Class III\n## Class IV\n## Minimum Laboratory/Test Requirements\n## Blood Thinners","[{\"question\":\"What criteria define ASA Class I and what testing is required?\",\"answer\":\"Class I applies when there are no physiological or psychiatric disturbances, the patient is under 50, is a non-smoker, and takes no medication. For a Class I patient under 50, no testing is required.\"},{\"question\":\"When does a patient fall into ASA Class II and what key examples are given?\",\"answer\":\"Class II includes mild to moderate systemic disturbances from the condition to be treated or other pathophysiologic processes that do not limit activity. Examples include current smoker, age over 65 or less than 3 months old requiring consult, controlled asthma, well-controlled hypertension, sleep apnea, stable angina, mild diabetes, mild to moderate obesity, and stable COPD.\"},{\"question\":\"What are the minimum laboratory and test requirements and how are blood thinners managed before surgery?\",\"answer\":\"The document lists required tests by age and ASA class: for example, Class I ages 50–65 include HBG, BUN, CR, GLU, UA, and EKG, while Class I 65+ and Classes II–V require CBC, CMP, UA, and EKG. It advises patients ideally be off aspirin/aspirin products and blood thinners for a week prior to surgery, and if a PT/INR is needed, evaluate when off Coumadin for at least 5 days. It also states test validity windows such as blood tests valid for 1 month and EKG valid for 6 months.\"}]","ASA Surgical Risk Classifications - Guidelines for Classes I to IV | PDF",1790284961]