End-of-Life Discussions in the Perioperative Period: Perioperative DNR Discussions

Features| April 2024 End-of-Life Discussions in the Perioperative Period: Perioperative DNR Discussions Megan H. Hicks, MD; Megan H. Hicks, MD Search for other works by this author on: This Site PubMed Google Scholar Shawn T. Simmons, MD, FASA; Shawn T. Simmons, MD, FASA Search for other works by this author on: This Site PubMed Google Scholar Amber Campbell, MD, MS; Amber Campbell, MD, MS Search for other works by this author on: This Site PubMed Google Scholar Alisha Sachdev, MD, FASA Alisha Sachdev, MD, FASA Search for other works by this author on: This Site PubMed Google Scholar ASA Monitor April 2024, Vol. 88, 16–17. https://doi.org/10.1097/01.ASM.0001010660.87196.6a Views Icon Views Article contents Figures End-of-Life Discussions in the Perioperative Period: Perioperative DNR Discussions. ASA Monitor 2024; 88:16–17 doi: https://doi.org/10.1097/01.ASM.0001010660.87196.6a Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search Dropdown Menu toolbar search search input Search input auto suggest filter your search All ContentAll PublicationsASA Monitor Search Advanced Search Topics: perioperative care, perioperative period, terminally ill, do-not-resuscitate orders End-of-life discussions in the perioperative period are becoming more common as our patient population ages and comorbidity burdens rise. Increasingly, anesthesiologists participate in these discussions in both the critical care and perioperative environments, whether educating patients, families, and other physicians on perioperative risks or rescinding and adapting resuscitative orders for the perioperative period. Intraoperative cardiac arrests occur in 5.6 per 10,000 cases, with an associated 58.4% mortality, according to National Anesthesia Clinical Outcomes Registry data (Anesthesiol Clin 2020;38:859-73). Precipitating factors include patient comorbidities and surgical factors such as the type of procedure and unanticipated blood loss (Anesth Analg 2018;126:876-88; Anesth Analg 2018;126:1797). Perioperative cardiac arrest is associated with higher mortality in those with ASA Physical Status Classification greater than III and age greater than 60 (Anaesth Intensive Care 2023;51:375-90). The anesthesiologist plays a critical role in the response to perioperative arrest. Being knowledgeable... You do not currently have access to this content.