Key result
Review details UK guidelines for managing and modifying perioperative DNACPR decisions to permit appropriate surgery.
Why the study?
It is increasingly common for patients to be scheduled for anaesthesia and surgery with a DNACPR decision in place, requiring guidance on perioperative management and modification of these decisions.
Provides an overview of UK guidelines for managing and modifying DNACPR decisions during the perioperative period to permit appropriate surgery.
Clarifies UK perioperative DNACPR guidance for clinicians; leaves open need for prospective outcome studies.
It is increasingly common for patients to be scheduled for anaesthesia and surgery with a 'Do Not Attempt Cardiopulmonary Resuscitation' (DNACPR) decision in place. Updated guidelines for the implementation and management of DNACPR decisions were published jointly by the British Medical Association (BMA), the Resuscitation Council (UK) and the Royal College of Nursing (RCN) in 2014 (BMA, RC(UK), RCN 2014). The Association of Anaesthetists of Great Britain and Ireland (AAGBI) published specific guidelines in 2009 to guide the perioperative management of such patients (AAGBI 2009). In this article, we explain these guidelines with a focus on how DNACPR decisions are made and how they can be modified in order to permit appropriate surgery to take place.
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Dawson et al. (2015) conducted a review in Patients with 'Do Not Attempt Cardiopulmonary Resuscitation' (DNACPR) decisions scheduled for anaesthesia and surgery. Perioperative management of DNACPR decisions was evaluated. This review explains the UK guidelines for the perioperative management of DNACPR decisions, focusing on how they are made and modified to permit appropriate surgery.
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