Patients with Preexisting DNAR Orders: Periprocedural Management in the ICU and OR
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Video Transcription
Video Summary
Asset Subtitle
Ethics End of Life, 2022
Asset Caption
There is ongoing confusion about appropriate management of patients with preexisting do-not-resuscitate (DNR) orders who present for procedures to the ICU, procedural suites, and operating room. Does the order to limit resuscitation need to be revoked before the procedure? Is it possible to perform procedures while the DNR order is retained? Four societies have published guidelines that have been in place for more than 15 years, yet there is still debate about ethical management of such patients. As the population ages, more intensivists, anesthesiologists, and clinicians who perform invasive procedures will encounter such situations and will need to be aware of appropriate management. Clinicians should be comfortable conducting appropriate discussions. In the context of the COVID-19 pandemic, communication challenges have made discussions about this topic even more challenging. Speakers will present challenges faced by anesthesiologists, surgeons, intensivists, and nurses and discuss what is ethically appropriate in various scenarios.
Meta Tag
Content Type Presentation
Knowledge Area Ethics End of Life
Knowledge Level Intermediate
Knowledge Level Advanced
Membership Level Select
Tag Ethics and End of Life
Tag Medical Legal Issues
Tag Advance Directives
Year 2022
Keywords
DNAR orders
ethical management
periprocedural management
patient's goals of care
goal-concordant care

   

   
 
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