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Do-not-resuscitate orders in the presurgical patient
1Department of Medicine, Cook County Hospital, Chicago, IL 60612.
Study Objective:
To assess the policy and practice of anesthesiology departments in regard to their management of the presurgical do-not-resuscitate (DNR) patient.
Design:
Questionnaire distributed to the program directors of 156 accredited residency programs in anesthesiology in the contiguous United States.
Setting:
University hospital.
Measurements And Main Results:
One hundred twelve of the 156 accredited U.S. programs responded to the questionnaire. The majority (81%) of programs that have a DNR policy for the presurgical patient suspend the order prior to surgery. However, only 50% of the institutions responding have standing policies, and of those that do not, only 40% plan to initiate such a policy.
Conclusions:
The need for a written policy for the DNR patient undergoing surgery is exemplified by the low percentage of institutions that have existing policies.
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