ASA classification in pediatric anesthesia

Buu, Natalie; Ansermino, J. Mark

doi:10.1007/bf03023192

Cited by 2 publications

(2 citation statements)

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“…In medically complex patients, it is important not to solely rely on the ASA‐PS classification but to also include further risk assessment prior to performing any periodontal/implant procedure 7 . Additionally, the ASA‐PS classification is designed for the adult patient, and certain aspects of patient histories in children may make the ASA designation more challenging 13 …”

Section: Limitations Of the Asa‐ps Classificationmentioning

confidence: 99%

Implementation of the American Society of Anesthesiologists Physical Status Classification System in Periodontal Practice

Maloney

Weinberg

2008

Journal of Periodontology

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The American Society of Anesthesiologists Physical Status (ASA-PS) classification is a preoperative rating given to each patient by an anesthesia provider with the sole purpose of assessing the physical state of the patient before anesthesia is administered. It was designed originally as a standardized way for dentists and physicians to convey information about the patient's overall health status and allow outcomes to be stratified by a global assessment of their severity of illness. However, in practice, the ASA-PS classification is often misused as a measure of operative risk, which is the basis of much criticism. Modification of periodontal treatment may be necessary in certain medically complex patients. The ASA-PS classification serves an integral part of risk assessment in determining how a patient should be managed by the periodontist. It should be incorporated into all periodontal practices. Medical assessment of patients has become an essential part of dentistry, as even the most common medical problems may require modifications to routine periodontal care. Periodontists must assess and manage patients for underlying medical conditions and are required to provide dental care to a diversity of medically complex patients. Today many patients in a periodontal practice have multiple medical conditions and are taking many medications. It is more difficult to manage these types of patients, and proper assessment of their physical status is an important part of clinical practice. The ASA-PS classification system is a valuable assessment tool that subjectively categorizes patients into subgroups by preoperative physical fitness prior to administering anesthesia.

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Section: Limitations Of the Asa‐ps Classificationmentioning

confidence: 99%

Implementation of the American Society of Anesthesiologists Physical Status Classification System in Periodontal Practice

Maloney

Weinberg

2008

Journal of Periodontology

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“…At some institutions, all sedation for pediatric endoscopy is administered by anesthesiologists, who may employ a variety of inhalational and IV agents [5]. The American Society of Anesthesiologists (ASA) has devised a classification of patient status that is generalizable across all medical specialties and may be of use in helping pediatric endoscopists to determine which patients would be best served by general anesthesia [21]. This classification system ranges from status 1 (healthy patient) to status 5 (moribund patient).…”

Section: General Anesthesiamentioning

confidence: 99%

Sedation of the pediatric and adolescent patient for GI procedures

Mahoney¹,

Lightdale

2007

Curr Treat Options Gastro

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There remains no ideal sedative for pediatric and adolescent patients undergoing gastrointestinal procedures. Instead, pediatric gastroenterologists must consider many factors, including patient age, medical history, clinical status, anxiety level, as well as targeted sedation level, to select the appropriate methods and agents to achieve optimal sedation for endoscopy. The two primary types of sedation are endoscopist-administered intravenous (IV) sedation and anesthesiologist-administered general anesthesia. If IV sedation is used, pediatric endoscopists must be prepared for children to become agitated, adding to stress for both patients and clinical staff. General anesthesia provides the advantage of complete patient immobility but also entails increased costs and utilization of hospital resources. Technical advances in electronic monitoring, both in the pediatric endoscopy suite and operating room settings, are contributing to increased patient safety. Nevertheless, sedation-related events, independent of type of sedation or regimen, represent the most common complications of pediatric endoscopy.

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ASA classification in pediatric anesthesia

Cited by 2 publications

References 0 publications

Implementation of the American Society of Anesthesiologists Physical Status Classification System in Periodontal Practice

Implementation of the American Society of Anesthesiologists Physical Status Classification System in Periodontal Practice

Sedation of the pediatric and adolescent patient for GI procedures

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