Interpretation of Do Not Attempt Resuscitation Orders for Children Requiring Anesthesia and Surgery
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 appro...
Gespeichert in:
| Veröffentlicht in: | Pediatrics (Evanston) 2018-05, Vol.141 (5), p.1 |
|---|---|
| Hauptverfasser: | , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | |
|---|---|
| container_issue | 5 |
| container_start_page | 1 |
| container_title | Pediatrics (Evanston) |
| container_volume | 141 |
| creator | Fallat, Mary E Hardy, Courtney |
| description | 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. |
| doi_str_mv | 10.1542/peds.2018-0598 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_2031034141</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A538961560</galeid><sourcerecordid>A538961560</sourcerecordid><originalsourceid>FETCH-LOGICAL-c401t-bece6c0a52003e3719745fe24096d7eef0d092e401996fcca575ffdd385e186c3</originalsourceid><addsrcrecordid>eNpdkU1vEzEQQC0EomnhyhFZ4sJlw9hr766PUQq0UkUkPs6Wa4_TrTb21vZK9N_jKIEDpznMs_U0j5B3DNZMCv5pRpfXHNjQgFTDC7JioIZG8F6-JCuAljUCQF6Qy5wfAUDInr8mF1x1Q8eEXBF7GwqmOWExZYyBRk-vI_0WC92Ugoe50O-Yl2zH836XHKZMfUx0-zBOLmGoxNMypjHs6SZgLg-YR0NNcPTHkvaYnt-QV95MGd-e5xX59eXzz-1Nc7f7ervd3DVWACvNPVrsLBjJqze2PVO9kB65ANW5HtGDA8Wxskp13loje-m9c-0gkQ2dba_Ix9O_c4pPSzXRhzFbnCYTMC5Z83oOaAUTrKIf_kMf45JCtavUoHresV5UqjlRezOhHoON9Vi_i43ThHvUVX670xvZDqpjsoPKr0-8TTHnhF7PaTyY9KwZ6GMufcylj7n0MVd98P6ssdwf0P3D__Zp_wBRepAb</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2089726174</pqid></control><display><type>article</type><title>Interpretation of Do Not Attempt Resuscitation Orders for Children Requiring Anesthesia and Surgery</title><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Alma/SFX Local Collection</source><creator>Fallat, Mary E ; Hardy, Courtney</creator><creatorcontrib>Fallat, Mary E ; Hardy, Courtney ; SECTION ON ANESTHESIOLOGY AND PAIN MEDICINE ; SECTION ON SURGERY ; COMMITTEE ON BIOETHICS ; SECTION ON SURGERY ; SECTION ON ANESTHESIOLOGY AND PAIN MEDICINE ; COMMITTEE ON BIOETHICS</creatorcontrib><description>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.</description><identifier>ISSN: 0031-4005</identifier><identifier>EISSN: 1098-4275</identifier><identifier>DOI: 10.1542/peds.2018-0598</identifier><identifier>PMID: 29686145</identifier><language>eng</language><publisher>United States: American Academy of Pediatrics</publisher><subject>Adolescents ; Analysis ; Anesthesia ; Cardiopulmonary resuscitation ; Child health ; Children ; Childrens health ; Clinical decision making ; CPR ; CPR (First aid) ; Decision making ; Health aspects ; Informed consent ; Pediatrics ; Surgery</subject><ispartof>Pediatrics (Evanston), 2018-05, Vol.141 (5), p.1</ispartof><rights>Copyright © 2018 by the American Academy of Pediatrics.</rights><rights>Copyright American Academy of Pediatrics May 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c401t-bece6c0a52003e3719745fe24096d7eef0d092e401996fcca575ffdd385e186c3</citedby><cites>FETCH-LOGICAL-c401t-bece6c0a52003e3719745fe24096d7eef0d092e401996fcca575ffdd385e186c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29686145$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fallat, Mary E</creatorcontrib><creatorcontrib>Hardy, Courtney</creatorcontrib><creatorcontrib>SECTION ON ANESTHESIOLOGY AND PAIN MEDICINE</creatorcontrib><creatorcontrib>SECTION ON SURGERY</creatorcontrib><creatorcontrib>COMMITTEE ON BIOETHICS</creatorcontrib><creatorcontrib>SECTION ON SURGERY</creatorcontrib><creatorcontrib>SECTION ON ANESTHESIOLOGY AND PAIN MEDICINE</creatorcontrib><creatorcontrib>COMMITTEE ON BIOETHICS</creatorcontrib><title>Interpretation of Do Not Attempt Resuscitation Orders for Children Requiring Anesthesia and Surgery</title><title>Pediatrics (Evanston)</title><addtitle>Pediatrics</addtitle><description>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.</description><subject>Adolescents</subject><subject>Analysis</subject><subject>Anesthesia</subject><subject>Cardiopulmonary resuscitation</subject><subject>Child health</subject><subject>Children</subject><subject>Childrens health</subject><subject>Clinical decision making</subject><subject>CPR</subject><subject>CPR (First aid)</subject><subject>Decision making</subject><subject>Health aspects</subject><subject>Informed consent</subject><subject>Pediatrics</subject><subject>Surgery</subject><issn>0031-4005</issn><issn>1098-4275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNpdkU1vEzEQQC0EomnhyhFZ4sJlw9hr766PUQq0UkUkPs6Wa4_TrTb21vZK9N_jKIEDpznMs_U0j5B3DNZMCv5pRpfXHNjQgFTDC7JioIZG8F6-JCuAljUCQF6Qy5wfAUDInr8mF1x1Q8eEXBF7GwqmOWExZYyBRk-vI_0WC92Ugoe50O-Yl2zH836XHKZMfUx0-zBOLmGoxNMypjHs6SZgLg-YR0NNcPTHkvaYnt-QV95MGd-e5xX59eXzz-1Nc7f7ervd3DVWACvNPVrsLBjJqze2PVO9kB65ANW5HtGDA8Wxskp13loje-m9c-0gkQ2dba_Ix9O_c4pPSzXRhzFbnCYTMC5Z83oOaAUTrKIf_kMf45JCtavUoHresV5UqjlRezOhHoON9Vi_i43ThHvUVX670xvZDqpjsoPKr0-8TTHnhF7PaTyY9KwZ6GMufcylj7n0MVd98P6ssdwf0P3D__Zp_wBRepAb</recordid><startdate>201805</startdate><enddate>201805</enddate><creator>Fallat, Mary E</creator><creator>Hardy, Courtney</creator><general>American Academy of Pediatrics</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>201805</creationdate><title>Interpretation of Do Not Attempt Resuscitation Orders for Children Requiring Anesthesia and Surgery</title><author>Fallat, Mary E ; Hardy, Courtney</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c401t-bece6c0a52003e3719745fe24096d7eef0d092e401996fcca575ffdd385e186c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adolescents</topic><topic>Analysis</topic><topic>Anesthesia</topic><topic>Cardiopulmonary resuscitation</topic><topic>Child health</topic><topic>Children</topic><topic>Childrens health</topic><topic>Clinical decision making</topic><topic>CPR</topic><topic>CPR (First aid)</topic><topic>Decision making</topic><topic>Health aspects</topic><topic>Informed consent</topic><topic>Pediatrics</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fallat, Mary E</creatorcontrib><creatorcontrib>Hardy, Courtney</creatorcontrib><creatorcontrib>SECTION ON ANESTHESIOLOGY AND PAIN MEDICINE</creatorcontrib><creatorcontrib>SECTION ON SURGERY</creatorcontrib><creatorcontrib>COMMITTEE ON BIOETHICS</creatorcontrib><creatorcontrib>SECTION ON SURGERY</creatorcontrib><creatorcontrib>SECTION ON ANESTHESIOLOGY AND PAIN MEDICINE</creatorcontrib><creatorcontrib>COMMITTEE ON BIOETHICS</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatrics (Evanston)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fallat, Mary E</au><au>Hardy, Courtney</au><aucorp>SECTION ON ANESTHESIOLOGY AND PAIN MEDICINE</aucorp><aucorp>SECTION ON SURGERY</aucorp><aucorp>COMMITTEE ON BIOETHICS</aucorp><aucorp>SECTION ON SURGERY</aucorp><aucorp>SECTION ON ANESTHESIOLOGY AND PAIN MEDICINE</aucorp><aucorp>COMMITTEE ON BIOETHICS</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Interpretation of Do Not Attempt Resuscitation Orders for Children Requiring Anesthesia and Surgery</atitle><jtitle>Pediatrics (Evanston)</jtitle><addtitle>Pediatrics</addtitle><date>2018-05</date><risdate>2018</risdate><volume>141</volume><issue>5</issue><spage>1</spage><pages>1-</pages><issn>0031-4005</issn><eissn>1098-4275</eissn><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.</abstract><cop>United States</cop><pub>American Academy of Pediatrics</pub><pmid>29686145</pmid><doi>10.1542/peds.2018-0598</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0031-4005 |
| ispartof | Pediatrics (Evanston), 2018-05, Vol.141 (5), p.1 |
| issn | 0031-4005 1098-4275 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2031034141 |
| source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Adolescents Analysis Anesthesia Cardiopulmonary resuscitation Child health Children Childrens health Clinical decision making CPR CPR (First aid) Decision making Health aspects Informed consent Pediatrics Surgery |
| title | Interpretation of Do Not Attempt Resuscitation Orders for Children Requiring Anesthesia and Surgery |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-26T18%3A11%3A56IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Interpretation%20of%20Do%20Not%20Attempt%20Resuscitation%20Orders%20for%20Children%20Requiring%20Anesthesia%20and%20Surgery&rft.jtitle=Pediatrics%20(Evanston)&rft.au=Fallat,%20Mary%20E&rft.aucorp=SECTION%20ON%20ANESTHESIOLOGY%20AND%20PAIN%20MEDICINE&rft.date=2018-05&rft.volume=141&rft.issue=5&rft.spage=1&rft.pages=1-&rft.issn=0031-4005&rft.eissn=1098-4275&rft_id=info:doi/10.1542/peds.2018-0598&rft_dat=%3Cgale_proqu%3EA538961560%3C/gale_proqu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2089726174&rft_id=info:pmid/29686145&rft_galeid=A538961560&rfr_iscdi=true |