A review of ASA physical status – historical perspectives and modern developments

Mayhew, David; Mendonca, Vivienne J; Murthy, B. V. S.

doi:10.1111/anae.14569

Cited by 570 publications

(407 citation statements)

References 37 publications

(47 reference statements)

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“…The presented case concerns an ASA 3 70-year-old male patient with KFS type I (Figures 1 and 2), severe cervical rotoscoliosis detected by computed tomography, mandibular prognathism, and known difficult airway management, who was given an infusion of dexmedetomidine as sedation for an opioid-free awake orotracheal intubation with VL. Our patient had a coronary artery bypass graft, and he suffered from arterial hypertension and diabetes mellitus [8]; body mass and height were 60 kg and 162 cm, respectively. We decided to avoid any opioid drugs due to the absence of respiratory depression.…”

Section: Dear Editormentioning

confidence: 93%

KingVision® and dexmedetomidine for opioid-free awake intubation in a patient with Klippel-Feil syndrome for complex percutaneous nephrolithotomy in a prone position: a case report

Pagano

Scarpato

Chicone

et al. 2019

ait

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Section: Dear Editormentioning

confidence: 93%

KingVision® and dexmedetomidine for opioid-free awake intubation in a patient with Klippel-Feil syndrome for complex percutaneous nephrolithotomy in a prone position: a case report

Pagano

Scarpato

Chicone

et al. 2019

ait

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“…This is because ASA I cases have fewer intra-operative and postoperative complications with better outcome following surgery. [15][16][17] Local anaesthesia and spinal anaesthesia with or without intravenous sedation were preferred over general anaesthesia in our study. Choice of anaesthetic technique was based on surgical procedure.…”

Section: Methodsmentioning

confidence: 99%

A Retrospective Descriptive Study of Anaesthesia in Mobile Surgical Camps in Nepal

Amatya

Kunwar

Panta

et al. 2020

Med. J. Shree Birendra Hosp.

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Introduction: Mobile medical and surgical camps are one of the means of providing medical and surgical facilities to people living in rural areas of developing country like Nepal. Methods: An observational cross-sectional descriptive retrospective study was done collecting data from surgical camps done by Nepali Army in six years from February 2013 to February 2019 AD. Total number of surgical cases requiring anaesthesia along with type of anaesthesia, American Society of Anaesthesiologist physical status classification and anaesthesia related complications were collected. Results: In a six year period, total 12 mobile surgical camps were conducted by Nepali Army. Out of which, two were done in collaboration with Ministry of Health, Government of Nepal. Total 703 surgical cases were conducted. Out of which, 583 were general surgical cases and 120 were gynaecological cases. 262 cases were done in local anaesthesia, 242 cases were done in spinal anaesthesia, 108 cases were done in total intravenous anaesthesia and 91 cases were done in general anaesthesia. Hypotension, nausea, vomiting, shivering, failed spinal and difficult airway were the complications noticed during intra-operative and postoperative period. Conclusions: Surgical outreach camps are beneficial in providing surgical care to unaffordable people living in rural and remote areas where health care facilities are limited and inaccessible. Safety of patient is the key concern in such camps. Proper organised plan is required selecting target group of populations with target surgeries per day for successful conduction of safe surgeries in such camps. Key words: anaesthesia; camps; mobile; surgical

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“…Smoking status was selected as an explanatory variable cause of known associations with complications in the setting of hip fractures (Ray, Aitken, McQueen, Court‐Brown, & Ralston, 2015) and altered analgesic requirements (Flanagan, Wysong, Ramey, & Vallier, 2018; Kuwabara et al, 2014; Walters, Cleck, Kuo, & Blendy, 2005). Developed in 1941, ASA is a commonly used preoperative assessment of health that is correlated with postoperative mortality and morbidity (Mayhew, Mendonca, & Murthy, 2019).…”

Section: Methodsmentioning

confidence: 99%

Factors associated with discharge opioid prescription after hip fracture fixation

Fandino

Bhashyam

Harris

et al. 2020

Musculoskeletal Care

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Objective Opioid prescribing after hip fracture fixation is variable, but the factors that drive this prescribing variation are not well‐described. The purpose of this study was to determine independent factors associated with increased opioid prescription upon discharge after hip fracture fixation. Methods A retrospective cohort study of 296 adult patients who underwent hip fracture fixation between January 2016 and December 2017 at two Level I trauma centers were included in our study. The primary outcome measurement was opioid prescription at discharge in morphine milligram equivalents (MME). Bivariate analysis was used to screen for factors, and multivariable regression analysis was used to identify independent factors associated with opioid prescription upon discharge from the hospital. Results Discharge opioid prescription amounts were available for 280 out of 296 patients (95%). The mean (±standard deviation) discharge opioid prescription was 212 (±319) MME. Multivariable regression analysis showed that younger age (p = 0.004), diabetes mellitus (p = 0.02), smoking (p < 0.001), treatment at hospital #2 (p < 0.001), and weekend discharge (p = 0.03) were associated with increased opioid prescription at discharge. Conclusions Increased opioid prescribing after hip fracture fixation is associated with patient‐ and system‐related factors. Prescriber education programs, prescription guidelines, and safe handoff practices that focus on these factors may help to decrease prescription variability and opioid overprescription across institutions.

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A review of ASA physical status – historical perspectives and modern developments

Cited by 570 publications

References 37 publications

KingVision® and dexmedetomidine for opioid-free awake intubation in a patient with Klippel-Feil syndrome for complex percutaneous nephrolithotomy in a prone position: a case report

KingVision® and dexmedetomidine for opioid-free awake intubation in a patient with Klippel-Feil syndrome for complex percutaneous nephrolithotomy in a prone position: a case report

A Retrospective Descriptive Study of Anaesthesia in Mobile Surgical Camps in Nepal

Factors associated with discharge opioid prescription after hip fracture fixation

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