A patient with ruptured abdominal aortic aneurysm requiring emergency repair. Which ASA designation with emergency should be used?

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Prepare for the NOVA Clinical Anesthesia Exam 1. Familiarize yourself with key concepts in anesthesia, get tested on-depth with multiple-choice questions, and use hints and explanations to enhance learning. Start your study journey today!

Multiple Choice

A patient with ruptured abdominal aortic aneurysm requiring emergency repair. Which ASA designation with emergency should be used?

Explanation:
Emergency status is added to the ASA designation with an E modifier. A ruptured abdominal aortic aneurysm that needs immediate repair puts the patient in a moribund state who would not likely survive without the operation, so the underlying status is ASA V. With the emergency modifier, the correct designation is ASA V E. The other options describe less severe disease and omit the urgent nature of the situation, which underestimates the perioperative risk.

Emergency status is added to the ASA designation with an E modifier. A ruptured abdominal aortic aneurysm that needs immediate repair puts the patient in a moribund state who would not likely survive without the operation, so the underlying status is ASA V. With the emergency modifier, the correct designation is ASA V E. The other options describe less severe disease and omit the urgent nature of the situation, which underestimates the perioperative risk.

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