Why the study?
To examine what is required when an anesthesiologist and surgeon disagree about terms of perioperative DNR order suspension during surgery.
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Design
Case commentary
Joint DNR decisions require surgeon-anesthesiologist-patient collaboration; leaves open standardization of perioperative ethics protocols.
This case examines perioperative suspension of a do-not-resuscitate (DNR) order during surgery. The commentary considers the appropriateness of DNR orders; types of DNR order suspension in the context of alternative anesthesia techniques; and what is required from a surgeon, anesthesiologist, and patient or surrogate to reach a decision expressing the patient's best interest. It concludes by offering communication recommendations based on joint discussion and decision sharing.
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Loeb et al. (2020) studied this question.
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