What is
meant by temporary revocation of do-not-resuscitate (DNR) orders in the
operating room?
Prior to the early 1990s, it was generally felt that DNR orders
were to be automatically revoked while a patient was in the operating room. The
prevailing opinion was that surgery and anesthesia represented temporary alterations in the patient’s
medical condition and, thus, interventions such as intubation and
cardiopulmonary resuscitation should be able to be instituted without it being
felt that one was violating a patient’s wishes to not be resuscitated. In 1993–1994, ethical guidelines for managing
DNR patients undergoing anesthesia care were established by the American
Society of Anesthesiologists.
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