TY - JOUR
T1 - Interpretation of do not attempt resuscitation orders for children requiring anesthesia and surgery
AU - Section on Surgery, Section on Anesthesiology and Pain Medicine, Committee on Bioethics
AU - Fallat, Mary E.
AU - Hardy, Courtney
AU - Meyers, Rebecka L.
AU - Besner, Gail Ellen
AU - Davidoff, Andrew
AU - Heiss, Kurt F.
AU - Agarwal, Rita
AU - Tobias, Joseph
AU - Brown, Raeford Eugene
AU - Guzzetta, Nina A.
AU - Honkanen, Anita
AU - Landrigan-Ossar, Mary
AU - Katz, Aviva L.
AU - Laventhal, Naomi Tricot
AU - Macauley, Robert C.
AU - Moon, Margaret Rusha
AU - Okun, Alexander L.
AU - Opel, Douglas J.
AU - Statter, Mindy B.
N1 - Publisher Copyright:
© Copyright 2018 by the American Academy of Pediatrics.
PY - 2018/5
Y1 - 2018/5
N2 - This clinical report addresses the topic of pre-existing do not attempt resuscitation or limited resuscitation orders for children and adolescents undergoing anesthesia and surgery. Pertinent considerations for the clinician include the rights of children, decision-making by parents or legally approved representatives, the process of informed consent, and the roles of surgeon and anesthesiologist. A process of re-evaluation of the do not attempt resuscitation orders, called "required reconsideration, " should be incorporated into the process of informed consent for surgery and anesthesia, distinguishing between goal-directed and procedure-directed approaches. The child's individual needs are best served by allowing the parent or legally approved representative and involved clinicians to consider whether full resuscitation, limitations based on procedures, or limitations based on goals is most appropriate.
AB - This clinical report addresses the topic of pre-existing do not attempt resuscitation or limited resuscitation orders for children and adolescents undergoing anesthesia and surgery. Pertinent considerations for the clinician include the rights of children, decision-making by parents or legally approved representatives, the process of informed consent, and the roles of surgeon and anesthesiologist. A process of re-evaluation of the do not attempt resuscitation orders, called "required reconsideration, " should be incorporated into the process of informed consent for surgery and anesthesia, distinguishing between goal-directed and procedure-directed approaches. The child's individual needs are best served by allowing the parent or legally approved representative and involved clinicians to consider whether full resuscitation, limitations based on procedures, or limitations based on goals is most appropriate.
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U2 - 10.1542/peds.2018-0598
DO - 10.1542/peds.2018-0598
M3 - Article
C2 - 29686145
AN - SCOPUS:85046478973
SN - 0031-4005
VL - 141
JO - Pediatrics
JF - Pediatrics
IS - 5
M1 - e20180598
ER -