APPENDIX 1

ASA Physical Status Classification

Class IA normally healthy patient
Class IIA patient with mild systemic disease (eg, controlled reactive airway disease)
Class IIIA patient with severe systemic disease (eg, a child who is actively wheezing)
Class IVA patient with severe systemic disease that is a constant threat to life (eg, a child with status asthmaticus)
Class VA moribund patient who is not expected to survive without the operation (eg, a patient with severe cardiomyopathy requiring heart transplantation)