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Do not resuscitate orders--managing the dilemma

D B Craig1, G C Webster

  • 1Department of Anesthesia, University of Manitoba, Winnipeg, Canada. dcraig@hsc.mb.ca

Canadian Journal of Anaesthesia = Journal Canadien D'Anesthesie
|May 26, 1998
PubMed
Summary

Surgical patients

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Area of Science:

  • Medical Ethics
  • Peri-operative Care

Background:

  • Do-Not-Resuscitate (DNR) orders present challenges in surgical settings.
  • Understanding DNR order specifics, context, and patient values is crucial.

Purpose of the Study:

  • To address challenges with DNR orders in peri-operative patients.
  • To emphasize patient-specific approaches and meaningful dialogue.

Main Methods:

  • Reviewing ethical principles like "respect for persons."
  • Advocating for reconsideration of existing DNR orders.
  • Highlighting the need for patient-specific, situation-specific solutions.

Main Results:

  • No "one-size-fits-all" solution exists for peri-operative DNR orders.
  • Automatic suspension or continuation of DNR orders is unjustified.
  • Patient-specific and situation-specific approaches are required.

Conclusions:

  • Peri-operative DNR orders require careful, individualized reconsideration.
  • Meaningful dialogue and avoiding assumptions are essential.
  • Similar principles apply to non-operating room acute care settings.
Keywords:
American College of SurgeonsAmerican Society of AnesthesiologistsDeath and Euthanasia

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