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Advance Directives and Operating: Room for Improvement?
Rachel A Hadler1, Mark D Neuman, Steven Raper
1From the Departments of *Anesthesiology and Critical Care and †Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.
Abstract:
Anesthesiologists and surgeons are frequently called on to perform procedures on critically ill patients with advanced directives. We assessed the attitudes of attending and resident surgeons and anesthesiologists at our institution regarding their understanding of and practice around the application of consenting critically ill patients with advance directives in the operating room. To do so, we deployed a survey after interdepartmental grand rounds, featuring a panel discussion of ethically complex cases featuring end-of-life issues.
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