Clinical report: do-not-resuscitate orders for pediatric patients who require anesthesia and surgery.

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Title: Clinical report: do-not-resuscitate orders for pediatric patients who require anesthesia and surgery.
Authors: Fallat ME (AUTHOR), Deshpande JK (AUTHOR), American Academy of Pediatrics. Section on Surgery (CORPORATE AUTHOR), American Academy of Pediatrics. Section on Anesthesia and Pain Medicine (CORPORATE AUTHOR), American Academy of Pediatrics. Committee on Bioethics (CORPORATE AUTHOR)
Source: Pediatrics. Dec2004, Vol. 114 Issue 6, p1686-1692. 7p.
Abstract: This clinical report addresses the topic of preexisting do-not-resuscitate (DNR) orders for children undergoing anesthesia and surgery. Pertinent issues addressed include the rights of children, surrogate decision-making, the process of informed consent, and the roles of surgeons and anesthesiologists. The reevaluation process of DNR orders called 'required reconsideration' can be incorporated into the process of informed consent for surgery and anesthesia. Care should be taken to distinguish between goal-directed and procedure-directed approaches to DNR orders. By giving parents or other surrogates and clinicians the option of deciding from among full resuscitation, limitations based on procedures, or limitations based on goals, the child's needs are individualized and better served. [ABSTRACT FROM AUTHOR]
Copyright of Pediatrics is the property of American Academy of Pediatrics and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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DbLabel: Psychology and Behavioral Sciences Collection
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  Data: Clinical report: do-not-resuscitate orders for pediatric patients who require anesthesia and surgery.
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  Data: <searchLink fieldCode="AR" term="%22Fallat+ME%22">Fallat ME</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Deshpande+JK%22">Deshpande JK</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22American+Academy+of+Pediatrics%2E+Section+on+Surgery%22">American Academy of Pediatrics. Section on Surgery</searchLink> (CORPORATE AUTHOR)<br /><searchLink fieldCode="AR" term="%22American+Academy+of+Pediatrics%2E+Section+on+Anesthesia+and+Pain+Medicine%22">American Academy of Pediatrics. Section on Anesthesia and Pain Medicine</searchLink> (CORPORATE AUTHOR)<br /><searchLink fieldCode="AR" term="%22American+Academy+of+Pediatrics%2E+Committee+on+Bioethics%22">American Academy of Pediatrics. Committee on Bioethics</searchLink> (CORPORATE AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Pediatrics%22">Pediatrics</searchLink>. Dec2004, Vol. 114 Issue 6, p1686-1692. 7p.
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: This clinical report addresses the topic of preexisting do-not-resuscitate (DNR) orders for children undergoing anesthesia and surgery. Pertinent issues addressed include the rights of children, surrogate decision-making, the process of informed consent, and the roles of surgeons and anesthesiologists. The reevaluation process of DNR orders called 'required reconsideration' can be incorporated into the process of informed consent for surgery and anesthesia. Care should be taken to distinguish between goal-directed and procedure-directed approaches to DNR orders. By giving parents or other surrogates and clinicians the option of deciding from among full resuscitation, limitations based on procedures, or limitations based on goals, the child's needs are individualized and better served. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Pediatrics is the property of American Academy of Pediatrics and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1542/peds.2004-2119
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