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. |
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| 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] |
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| Database: | Psychology and Behavioral Sciences Collection |
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