How do ACPGBI/NBOCA recommend that ASA Grade should be recorded for patients undergoing major resection?

The ASA grade of each patient must be determined by the anaesthetist alone before resection of the cancer. The anaesthetist commonly gives this judgement as part of the “Time Out” – before the surgical procedure starts. The Colorectal Surgeon should record the ASA grade given by the anaesthetist in the operation note and this will be the grade submitted to NBOCA.