Why the study?
Specific DNACPR forms have shown disadvantages and are no longer best practice, prompting updated guidance for implementing advance care planning before and during procedures.
This guideline updates peri-operative advance care planning practices, moving away from isolated DNACPR forms toward comprehensive, patient-centred treatment planning.
Abandon specific DNACPR forms for patient-centred planning of treatments to consider; reinforces shift from form-based to discussion-based resuscitation decisions.
Contemporary guidance takes a patient-centred approach and recommends discussing and planning treatments that should be considered, not just those that should be withheld. Although some organisations and communities still use specific DNACPR (do not attempt cardiopulmonary resuscitation) forms to recommend that cardiopulmonary resuscitation is not attempted, this approach has been shown to have disadvantages and is no longer regarded as best practice. The following guidelines have been produced in response to this change. They are designed to help anaesthetists, as part of the wider healthcare team, to implement and respond to advance care planning documents before and during procedures. The guidelines apply to all procedures, however minor and low risk they are considered to be, and the same ethical and legal principles apply to procedures carried out under local or regional anaesthesia and/or conscious sedation, as well as to those under general anaesthesia.
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Meek et al. (2022) conducted a review in Peri-operative care and advance care planning. Advance care planning guidelines was evaluated. The Association of Anaesthetists provides updated clinical practice guidelines for implementing and responding to advance care planning documents before and during all peri-operative procedures.
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