MSFinals-6126

MSFinals-6126

A 35-year-old man presents to the surgical assessment unit with acute appendicitis. You are evaluating his suitability for surgery.
He has no relevant medical history, his blood pressure is being monitored by his GP but he has not yet been prescribed any medication for it. He does not smoke and drinks a couple of beers with his meals on Fridays and Saturdays.
The nursing staff have recorded his vital signs, height, and weight. His heart rate is 98 /min, respiratory rate is 17 /min, temperature is 37.8ºC, blood pressure is 148/93 mmHg, and saturations are 99% on room air. He is 178 cm tall, weighs 132 kg, and has a BMI of 41.6 kg/m².
An anaesthetist evaluates his American Society of Anaesthesiologists (ASA) grade before surgery.
What ASA grade would you assign to this man based on the information provided?