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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="review-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Regional Anesthesia and Acute Pain Management</journal-id><journal-title-group><journal-title xml:lang="en">Regional Anesthesia and Acute Pain Management</journal-title><trans-title-group xml:lang="ru"><trans-title>Регионарная анестезия и лечение острой боли</trans-title></trans-title-group></journal-title-group><issn publication-format="print">1993-6508</issn><issn publication-format="electronic">2687-1394</issn><publisher><publisher-name xml:lang="en">Eco-Vector</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">90041</article-id><article-id pub-id-type="doi">10.17816/RA90041</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>Reviews</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Научные обзоры</subject></subj-group><subj-group subj-group-type="article-type"><subject>Review Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Updated classification of the physical condition of patients of the american society of anesthesiologists</article-title><trans-title-group xml:lang="ru"><trans-title>Обновлённая классификация физического состояния пациентов Американского общества анестезиологов</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3400-8989</contrib-id><contrib-id contrib-id-type="spin">6101-0578</contrib-id><name-alternatives><name xml:lang="en"><surname>Koriachkin</surname><given-names>Victor A.</given-names></name><name xml:lang="ru"><surname>Корячкин</surname><given-names>Виктор Анатольевич</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, PhD, DSc, Professor</p></bio><bio xml:lang="ru"><p>д.м.н., профессор</p></bio><email>vakoryachkin@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5599-4706</contrib-id><contrib-id contrib-id-type="spin">6154-5684</contrib-id><name-alternatives><name xml:lang="en"><surname>Levin</surname><given-names>Yaakov I.</given-names></name><name xml:lang="ru"><surname>Левин</surname><given-names>Яков Иванович</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>doctorlevin@yandex.ru</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6127-0798</contrib-id><contrib-id contrib-id-type="spin">6726-2571</contrib-id><name-alternatives><name xml:lang="en"><surname>Zabolotskii</surname><given-names>Dmitry V.</given-names></name><name xml:lang="ru"><surname>Заболотский</surname><given-names>Дмитрий Владиславович</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, PhD, DSc</p></bio><bio xml:lang="ru"><p>д.м.н., профессор</p></bio><email>zdv4330303@gmail.com</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3162-6298</contrib-id><contrib-id contrib-id-type="spin">8640-9591</contrib-id><name-alternatives><name xml:lang="en"><surname>Khinovker</surname><given-names>Vladimir V.</given-names></name><name xml:lang="ru"><surname>Хиновкер</surname><given-names>Владимир Владимирович</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, PhD</p></bio><bio xml:lang="ru"><p>к.м.н.</p></bio><email>vhinov@hotmail.com</email><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0960-7426</contrib-id><name-alternatives><name xml:lang="en"><surname>Safin</surname><given-names>Rustam P.</given-names></name><name xml:lang="ru"><surname>Сафин</surname><given-names>Рустам Рафильевич</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, PhD, DSc, Professor</p></bio><bio xml:lang="ru"><p>д.м.н., профессор</p></bio><email>safin_r.r@hotmail.com</email><xref ref-type="aff" rid="aff4"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Saint-Petersburg State Pediatric Medical University</institution></aff><aff><institution xml:lang="ru">Санкт-Петербургский государственный педиатрический медицинский университет</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">Medical center “MEDHELP”</institution></aff><aff><institution xml:lang="ru">Многопрофильный медицинский центр ООО «МЕДХЭЛП»</institution></aff></aff-alternatives><aff-alternatives id="aff3"><aff><institution xml:lang="en">Federal Siberian Research Clinical Centre</institution></aff><aff><institution xml:lang="ru">Федеральный Сибирский научно-клинический центр</institution></aff></aff-alternatives><aff-alternatives id="aff4"><aff><institution xml:lang="en">Mari state University</institution></aff><aff><institution xml:lang="ru">Марийский государственный университет</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2021-04-15" publication-format="electronic"><day>15</day><month>04</month><year>2021</year></pub-date><volume>15</volume><issue>2</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>101</fpage><lpage>106</lpage><history><date date-type="received" iso-8601-date="2021-12-09"><day>09</day><month>12</month><year>2021</year></date><date date-type="accepted" iso-8601-date="2021-12-09"><day>09</day><month>12</month><year>2021</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2021, Eco-Vector</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2021, ООО "Эко-Вектор"</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="en">Eco-Vector</copyright-holder><copyright-holder xml:lang="ru">ООО "Эко-Вектор"</copyright-holder></permissions><self-uri xlink:href="https://rjraap.com/1993-6508/article/view/90041">https://rjraap.com/1993-6508/article/view/90041</self-uri><abstract xml:lang="en"><p>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.</p></abstract><trans-abstract xml:lang="ru"><p>Классификация физического статуса Американского общества анестезиологов (ASA) – широко используемая система для оценки предоперационного статуса пациентов. В определения классов ASA с 1941 г. несколько раз вносились различные поправки, что привело к некоторым затруднениям в использовании классификации. Существуют определённые затруднения в оценках, особенно между I–II и II–III классами ASA. В преодолении этой проблемы значимую роль могут сыграть клинические примеры, представленные в последней редакции классификации. В этой статье мы представили обновлённую классификацию физического состояния пациентов по шкале ASA перед анестезией и операцией, которая достаточно проста, воспроизводима и может с успехом использоваться не только у взрослых, но и в педиатрической и акушерской анестезиологии.</p></trans-abstract><kwd-group xml:lang="en"><kwd>аnesthesia</kwd><kwd>ASA</kwd><kwd>physical status classification</kwd><kwd>preoperative assessment</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>анестезия</kwd><kwd>ASA</kwd><kwd>классификация физического статуса</kwd><kwd>предоперационная оценка</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><citation-alternatives><mixed-citation xml:lang="en">Saklad M. Grading of patients for surgical procedures. Anesthesiology. 1941;2(3):281–284.</mixed-citation><mixed-citation xml:lang="ru">Saklad M. Grading of patients for surgical procedures // Anesthesiology. 1941. Vol. 2, N 3. 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