Anesthesiology Assessment

A UK NHS-aligned pre-operative anesthesiology assessment combining four validated scoring systems — ASA Physical Status Classification, Mallampati/Airway Score, Revised Cardiac Risk Index (RCRI/Lee Index), and STOP-BANG (OSA screening) — into a composite perioperative risk level, with flagged safety-critical issues and an anaesthetic plan.

Scoring

Instruments: ASA Physical Status (I–VI), Mallampati Airway Class (I–IV), RCRI (0–6), STOP-BANG (0–8), combined into a composite perioperative risk:

• Low — ASA I–II, Mallampati I–II, RCRI 0, STOP-BANG 0–2 → routine anaesthesia.
• Moderate — any single marker in the mid-band → additional planning.
• High — ASA III, Mallampati III–IV, RCRI ≥ 2, or STOP-BANG ≥ 5 → senior anaesthetist review.
• Critical — ASA IV–V, anatomy predicting difficult airway plus significant cardiac/respiratory comorbidity → MDT pre-op review.

What it covers

Patient demographics; planned surgery and proposed anaesthesia; system-by-system medical history; medications; allergies and adverse reactions; previous anaesthesia and surgery history; airway and physical examination; vital signs and investigations; the four- instrument scoring; and the anaesthetic plan with consent.

Relationship to similar assessments in this collection

This is one of three closely related pre-operative/anaesthesia assessments in this catalog: Pre Anaesthesia Assessment and Pre Operative Assessment By Clinician cover very similar ground (objective clinician-recorded findings driving an ASA-based composite risk). Check which specific instrument set and workflow a given context actually expects rather than assuming they're interchangeable.

Common pitfalls

• Taking the worst-band composite risk without checking which instrument drove it — the composite hides which specific factor (airway, cardiac, OSA) is actually the concern; the driving instrument should still be documented explicitly for planning.
• Using a stale or non-fasting-state assessment for surgical clearance — physiological status can change between assessment and surgery date; reassess if there's a meaningful time gap or a clinical change.
• Skipping senior review at the "High"/"Critical" threshold — the whole point of the composite risk banding is to trigger escalation; treating it as informational only defeats its purpose.

Learn more

• FormExamples: anesthesiology-assessment for the full implementation, clinical references, and worked examples.
• Pre Anaesthesia Assessment, Pre Operative Assessment By Clinician, Pre Operative Assessment By Patient for closely related assessments.