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What Should an Anesthesiologist and Surgeon Do When They Disagree About Terms of Perioperative DNR Suspension?
Alexander E Loeb1, Shawn Y Jia2, Casey J Humbyrd3
1Orthopedic surgery resident at the Johns Hopkins Hospital in Baltimore, Maryland.
Abstract:
This case examines perioperative suspension of a do-not-resuscitate (DNR) order during surgery. The commentary considers the appropriateness of DNR orders; types of DNR order suspension in the context of alternative anesthesia techniques; and what is required from a surgeon, anesthesiologist, and patient or surrogate to reach a decision expressing the patient's best interest. It concludes by offering communication recommendations based on joint discussion and decision sharing.
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