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The ASA classification system is used to assess a patient's physical status prior to surgery. It is simple to use, does not take much time, can be used repeatedly, and has been shown to closely correlate with perioperative risk. The ASA system aims to evaluate a patient's "illness" or "physical status" before selecting anesthesia or performing surgery. Patients are classified on a scale of 1 to 5 based on the presence and severity of systemic disease. While the ASA system is widely used, it has limitations as different physicians may classify the same patient differently and certain local diseases or cancers are not clearly addressed.
The ASA classification system is used to assess a patient's physical status prior to surgery. It is simple to use, does not take much time, can be used repeatedly, and has been shown to closely correlate with perioperative risk. The ASA system aims to evaluate a patient's "illness" or "physical status" before selecting anesthesia or performing surgery. Patients are classified on a scale of 1 to 5 based on the presence and severity of systemic disease. While the ASA system is widely used, it has limitations as different physicians may classify the same patient differently and certain local diseases or cancers are not clearly addressed.
The ASA classification system is used to assess a patient's physical status prior to surgery. It is simple to use, does not take much time, can be used repeatedly, and has been shown to closely correlate with perioperative risk. The ASA system aims to evaluate a patient's "illness" or "physical status" before selecting anesthesia or performing surgery. Patients are classified on a scale of 1 to 5 based on the presence and severity of systemic disease. While the ASA system is widely used, it has limitations as different physicians may classify the same patient differently and certain local diseases or cancers are not clearly addressed.
DEFINISI ASA adalah sebuah sistem klasifikasi yang digunakan untuk menilai status fisik pasien sebelum operasi. Keunggulan ASA dibandingkan klasifikasi risiko operasi yang lain adalah: Tidak makan banyak waktu untuk menilai Simpel Bisa digunakan berulang kali Terbukti menunjukkan keterkaitan yang erat dengan risiko perioperatif. TUJUAN Menilai tingkat "penyakit" pasien atau "keadaan fisik" sebelum memilih anestesi atau sebelum melakukan operasi. Status fisik pra operasi pasien digunakan untuk pencatatan, untuk berkomunikasi antara rekan sejawat, dan untuk menciptakan sebuah sistem yang seragam untuk analisis statistik. KLASIFIKASI ASA CONTOH ASA 1 No organic, physiologic, or psychiatric disturbance; excludes the very young and very old; healthy with good exercise tolerance. ASA 2 No functional limitations; has a well-controlled disease of one body system; controlled hypertension or diabetes without systemic effects, cigarette smoking without chronic obstructive pulmonary disease (COPD); mild obesity, pregnancy. ASA 3 Some functional limitation; has a controlled disease of more than one body system or one major system; no immediate danger of death; controlled congestive heart failure (CHF), stable angina, old heart attack, poorly controlled hypertension, morbid obesity, chronic renal failure; bronchospastic disease with intermittent symptoms. Contoh... ASA 4 Has at least one severe disease that is poorly controlled or at end stage; possible risk of death; unstable angina, symptomatic COPD, symptomatic CHF, hepatorenal failure ASA 5 Not expected to survive > 24 hours without surgery; imminent risk of death; multiorgan failure, sepsis syndrome with hemodynamic instability, hypothermia, poorly controlled coagulopathy. E (emergency) Theoriginal definition of emergency in 1940, when ASA classification was first designed, was a surgical procedure which, in the surgeons opinion, should be performed without delay. [1] This gives an opportunity for a surgeon to manipulate the schedule of elective surgery cases for personal convenience. An emergency is therefore now defined as existing when delay in treatment would significantly increase the threat to the patients life or body part. [2] With this definition, severe pain due to broken bones, ureteric stone or parturition (giving birth) is not an emergency. KEKURANGAN Penulisyang berbeda memberikan versi yang berbeda dari definisi ASA ini, karena klasifikasi ini tidak jelas dan jauh dari sempurna. Seringkali dokter anestesi yang berbeda menetapkan nilai yang berbeda untuk pasien yang sama. Kekurangan... Kata-kata Keterbatasan fungsi sistemik menciptakan kebingungan. Beberapa kondisi dan penyakit lokal yang tidak "penyakit sistemik" (gangguan umum dari seluruh tubuh seperti diabetes atau hipertensi) tapi mempengaruhi risiko pasien tidak disebutkan dalam klasifikasi ASA. Demikian pula, sistem ASA juga tidak menyebutkan KANKER. Terima Kasih.... Sumber: Morgan Clinical Anesthesiology 5th ed. Page 311 - 312
(Contemporary Clinical Neuroscience) Giuliana Grimaldi, Mario Manto (auth.), Giuliana Grimaldi, Mario Manto (eds.)-Mechanisms and Emerging Therapies in Tremor Disorders-Springer-Verlag New York (2013).pdf