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Some
functional
limitation;
has
a
controlled
disease
of
more
than
one
body
system
or
one
major
system;
no
immediate
danger
of
death;
Patients
with
severe
systemic
ASA
PS
3
controlled
congestive
heart
failure
(CHF),
stable
angina,
old
heart
attack,
disease
poorly
controlled
hypertension,
morbid
obesity,
chronic
renal
failure;
bronchospastic
disease
with
intermittent
symptoms
Patients
with
severe
systemic
Has
at
least
one
severe
disease
that
is
poorly
controlled
or
at
end
stage;
ASA
PS
4
disease
that
is
a
constant
threat
possible
risk
of
death;
unstable
angina,
symptomatic
COPD,
symptomatic
to
life
CHF,
hepatorenal
failure
Moribund
patients
who
are
not
Not
expected
to
survive
>
24
hours
without
surgery;
imminent
risk
of
ASA
PS
5
expected
to
survive
without
the
death;
multiorgan
failure,
sepsis
syndrome
with
hemodynamic
instability,
operation
hypothermia,
poorly
controlled
coagulopathy
A
declared
brain-‐dead
patient
ASA
PS
6
who's
organs
are
being
removed
for
donor
purposes