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Chapter: Clinical Cases in Anesthesia : Do-Not-Resuscitate Order

If this patient were intubated for the resuscitation but did not regain consciousness for 48 hours, is it ethical to withdraw mechanical ventilation at this time?

It is considered appropriate to withdraw care in the postoperative period if continued care is unlikely to achieve the desired goals of the patient.

If this patient were intubated for the resuscitation but did not regain consciousness for 48 hours, is it ethical to withdraw mechanical ventilation at this time?

 

It is considered appropriate to withdraw care in the postoperative period if continued care is unlikely to achieve the desired goals of the patient. Since it is more ethically challenging to withhold therapy not knowing if an event is temporary, it is suggested that therapy be initi-ated. Once a trial and assessment are performed, an evalu-ation at a later time may determine that withdrawal of that therapy would be more in line with the patient’s wishes.

 

Despite the published guidelines suggesting the re-evaluation of DNR for the perioperative period, many practitioners still feel uncomfortable doing so for ethical and personal reasons. Others may find it too difficult to re-evaluate and customize a DNR order for the perioperative period, especially if the anesthesiologist is not comfortable interpreting the patient’s wishes.

 

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Clinical Cases in Anesthesia : Do-Not-Resuscitate Order : If this patient were intubated for the resuscitation but did not regain consciousness for 48 hours, is it ethical to withdraw mechanical ventilation at this time? |


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