Why the study?
Since 1941, the ASA physical status has undergone few modifications to improve reliability and eliminate subjectivity, despite vast changes in surgical and anaesthetic technique.
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Design
Literature review
May warrant cautious ASA classification use in perioperative settings; leaves open prospective validation of its modern applicability.
The American Society of Anesthesiologists (ASA) physical status is a tool commonly used to classify a patient's physical fitness before surgery. Since its introduction in 1941 it has undergone very few modifications to improve its reliability and to eliminate subjectivity, despite vast changes in both surgical and anaesthetic technique. We present the history of the ASA physical status and review the literature on its applicability to contemporary anaesthetic practice.
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Mayhew et al. (2019) studied this question.
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