Updated classification of the physical condition of patients of the american society of anesthesiologists

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The American Society of Anesthesiologists (ASA) Classification of Physical Status is a widely used system for assessing the preoperative status of patients. The ASA class definitions have been amended several times since 1941, which caused some difficulties in using the classification. There are some difficulties in the assessments, especially between the I–II and II–III classes of the ASA. To overcome this problem, clinical samples presented in the latest edition of the classification play a significant role. In this article, we have presented an updated classification of the physical condition of patients on the ASA scale before anesthesia and surgery, which is sufficiently simple, reproducible, and can be successfully used not only in adults, but also in pediatric and obstetric anesthesiology.

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About the authors

Victor A. Koriachkin

Saint-Petersburg State Pediatric Medical University

Email: vakoryachkin@mail.ru
ORCID iD: 0000-0002-3400-8989
SPIN-code: 6101-0578

MD, PhD, DSc, Professor

Russian Federation, 2, Litovskaya, Saint Petersburg, 194100

Yaakov I. Levin

Medical center “MEDHELP”

Email: doctorlevin@yandex.ru
ORCID iD: 0000-0002-5599-4706
SPIN-code: 6154-5684
Russian Federation, 70, Vareikisa st., Voronezh, 394026

Dmitry V. Zabolotskii

Saint-Petersburg State Pediatric Medical University

Email: zdv4330303@gmail.com
ORCID iD: 0000-0002-6127-0798
SPIN-code: 6726-2571

MD, PhD, DSc

Russian Federation, 2, Litovskaya, Saint Petersburg, 194100

Vladimir V. Khinovker

Federal Siberian Research Clinical Centre

Email: vhinov@hotmail.com
ORCID iD: 0000-0002-3162-6298
SPIN-code: 8640-9591


Russian Federation, 26, 2, Kolomenskaya st., Krasnoyarsk, 660037

Rustam P. Safin

Mari state University

Author for correspondence.
Email: safin_r.r@hotmail.com
ORCID iD: 0000-0003-0960-7426

MD, PhD, DSc, Professor

Russian Federation, 30, 56, H.Mushtary st., Kazan, 420015


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