Assessment Of Patients

A patient's general physical status can be conveniently described by using the American Society of Anesthesiologists' (ASA) classification ( Table.33-4). Any medications or intoxicants should be solicited and their effects considered when selecting medications. The patient's airway should be systematically evaluated by the provider who will be responsible for its management during CS (see Chap 15, "Tracheal Intubation and Mechanical Ventilation"). Depending on clinical circumstances, a patient with an anticipated difficult airway or an ASA classification of 3 or 4 may require consultation with an anesthesiologist. Patients with underlying neurologic diseases such as cerebral palsy, myasthenia gravis, or mental retardation may be much more sensitive to sedatives and consultation is suggested in such cases.

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