Interpretation of do not attempt resuscitation orders for children requiring anesthesia and surgery

Section on Surgery, Section on Anesthesiology and Pain Medicine, Committee on Bioethics

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Article numbere20180598
JournalPediatrics
Volume141
Issue number5
DOIs
StatePublished - May 1 2018

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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    Section on Surgery, Section on Anesthesiology and Pain Medicine, Committee on Bioethics (2018). Interpretation of do not attempt resuscitation orders for children requiring anesthesia and surgery. Pediatrics, 141(5), [e20180598]. https://doi.org/10.1542/peds.2018-0598