To resuscitate or not ... in the operating room: the need for hospital policies for surgeons regarding DNR orders.
نویسنده
چکیده
As more Americans have become aware of end-of-life planning, health care professionals are faced with more "Do Not Resuscitate" orders. A patient with a terminal condition who has signed such an order may enter the operating room for a surgical procedure; few hospitals have developed protocols to assist the medical staff. In most hospitals, it is unclear whether the medical staff should honor the "DNR" or follow the traditional resuscitation protocol of the operating room.
منابع مشابه
DNR orders in the OR.
Patients with do-not-resuscitate (DNR) orders may elect to have palliative surgery. Should DNR orders be automatically suspended in the operating room (OR)? This article addresses the following issues: (1) Ethics of DNR orders. (2) The American Society of Anesthesiology's Ethical Guidelines for the Anesthesia Care of Patients with Do-Not-Resuscitate Orders or Other Directives that Limit Treatme...
متن کاملHigh mortality in surgical patients with do-not-resuscitate orders: analysis of 8256 patients.
OBJECTIVE To evaluate outcomes of patients who undergo surgery with a do-not-resuscitate (DNR) order. DESIGN Retrospective cohort study. SETTING More than 120 hospitals participating in the American College of Surgeons National Surgical Quality Improvement Program from 2005 to 2008. PATIENTS There were 4128 adult DNR patients and 4128 age-matched and procedure-matched non-DNR patients. ...
متن کاملSaving Life or Respecting Autonomy: The Ethical Dilemma of DNR Orders in Patients Who Attempt Suicide
Extensive bioethics literature discusses DNR orders, but comparatively little has been published on a topic that involves almost every aspect of end-of-life decision making: DNR orders in patients who attempt suicide. Ethics consultants are increasingly confronted with this dilemma in an area where there is little legal guidance or ethical consensus. A case-based analysis of the arguments for a...
متن کاملPatient and doctor attitudes and beliefs concerning perioperative do not resuscitate orders: anesthesiologists’ growing compliance with patient autonomy and self determination guidelines
UNLABELLED BACKGROUND In 1993, the American Society of Anesthesiologists (ASA) published guidelines stating that automatic perioperative suspension of Do Not Resuscitate (DNR) orders conflicts with patients' rights to self-determination. Almost 20 years later, we aimed to explore both patient and doctor views concerning perioperative DNR status. METHODS Five-hundred consecutive patients vi...
متن کاملEthical dilemmas and decisions concerning the do-not-resuscitate patient undergoing anesthesia.
The growing geriatric population in this country makes it increasingly difficult to deal with the number of do-not-resuscitate (DNR) orders. In part, this is due to an increase in the number of elderly undergoing anesthesia and surgery. It can also be attributed to a rise in complex legal, ethical, and moral issues these orders pose for the healthcare professional caring for the DNR patients, i...
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ورودعنوان ژورنال:
- Annals of health law
دوره 6 شماره
صفحات -
تاریخ انتشار 1997