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ASA NEWSLETTER
 
 
March 2001
Volume 65
Number 3
   
Informed Consent for the Patient With an Existing DNR Order

David B. Waisel, M.D.
Robert D. Truog, M.D.
Committee on Ethics


In 1993, ASA published Ethical Guidelines for the Anesthesia Care of Patients with Do-Not-Resuscitate Orders or Other Directives That Limit Treatment. This statement endorsed patients’ rights to refuse resuscitation in the operating room and suggested that standing do-not-resuscitate (DNR) orders be re-evaluated for the perioperative period instead of being automatically revoked. The American College of Surgeons published a similar statement in 1994.

While it is clear that re-evaluating orders for the perioperative period is ethically unassailable, it is equally clear that clinical implementation of re-evaluation is problematic. To that end, the Committee on Ethics developed the Informed Consent for Anesthesia Care in the Patient With an Existing Do-Not-Resuscitate Order form to facilitate discussion and documentation of perioperative DNR orders. The form consists of the four options discussed below.

OPTION 1. FULL RESUSCITATION

I, _________________, desire that full resuscitative measures be employed during my anesthesia and in the postanesthesia care unit, regardless of the situation.
Most articles discuss methods for patients to refuse therapy in the perioperative period because historically the status quo has been to insist upon full resuscitation. This does not mean, however, that it is inappropriate for a patient to revoke the DNR order. Indeed, there are a number of reasons why a patient may prefer this option. A clear reference, such as revocation, avoids the question of determining what is resuscitation and reassures patients that no effort will be spared in performing resuscitation. In addition, outcomes from cardiopulmonary resuscitation (CPR) performed in the operating room are far superior to outcomes from CPR performed outside the operating room. Revocation works well for patients who will accept any burden in exchange for any possible benefit of therapy.

OPTION 2. LIMITED RESUSCITATION: PROCEDURE-DIRECTED

During my anesthesia and in the postoperative care unit, I, ________________, refuse the following procedures:
Some patients may prefer the security of being able to define precisely what interventions are permitted. Anesthesiologists advise their patients based on the benefit and burden of the intervention as well as the likelihood of that intervention allowing the patient to achieve desired goals. Interventions on such lists include tracheal intubation or other airway management, postoperative ventilation, chest compressions, defibrillation, vasoactive drugs and invasive monitoring. Patients should be informed that inconsistent or incompatible requests cannot be honored. The inconsistent nature of some requests, such as receiving intravenous medications but not having an intravenous line placed, needs to be clarified to the patient. For another similar example, consider the need for general endotracheal intubation to relieve a bowel obstruction in a patient receiving chronic anticoagulation therapy. In this case, the patient needs to be informed that tracheal intubation is mandatory for the anesthesia and surgery to occur and that the patient can either have the surgery with the tracheal intubation or can refuse surgery. Although the patient must have tracheal intubation to facilitate anesthesia, the patient may still refuse other forms of resuscitation and may opt to define circumstances in which to have care withdrawn postoperatively.

Procedure-directed orders work well for patients who want to unambiguously define which procedures are desired and, for that benefit, are willing to forego the ability of perioperative caregivers to customize the extent of resuscitation based upon clinical situations that may be difficult to predict.

OPTION 3. LIMITED RESUSCITATION: GOAL-DIRECTED

I, _________________, desire attempts to resuscitate me during my anesthesia and in the postanesthesia care unit only if, in the clinical judgment of the attending anesthesiologist and surgeon, the adverse clinical events are believed to be both temporary and reversible.


OPTION 4. LIMITED RESUSCITATION: GOAL-DIRECTED

I, ___________________, desire attempts to resuscitate me during my anesthesia and in the postanesthesia care unit only if, in the clinical judgment of the attending anesthesiologist and surgeon, such resuscitation efforts will support the following goals and values of mine:
The form also should offer two options for goal-directed orders. Clinical experience indicates that many patients prefer Option 3 as a standard goal-directed order, and we would recommend that as the starting point. If, however, the phrase temporary and reversible does not adequately describe the patient's desires, Option 4 may be used for the patient to clarify his or her goals.

The goal-directed approach arose from the idea that since many patients think in terms of outcomes, it is often more effective to talk about goals rather than procedures. By taking advantage of the operating room environment in which specific physicians take care of a patient for a defined period of time, patients may guide therapy by prioritizing outcomes rather than procedures. After defining desirable outcomes in individual discussions with the perioperative physicians, patients authorize those physicians to use their clinical judgments to determine how specific interventions will affect achievement of these goals.

The strength of the goal-directed approach is that physicians should feel that they could truly honor the patient's desires without having to worry about getting caught in a technicality inconsistent with the patient's desires. Even better, predictions about the success of interventions that are made by the anesthesiologist at the time of the resuscitation are likely to be more accurate than predictions made preoperatively, when the quality and nature of the problems are not known.

Goal-directed orders work well for patients who want their perioperative caregivers to customize the extent of resuscitation based on the caregivers' understanding of the patients' goals for the postoperative period. For this benefit, patients must accept the ambiguity that comes with relying on caregivers to apply their assessments of the clinical situations to their interpretations of the patients' goals.

Postoperative Planning: Using the Opportunity to Withdraw Care to the Patient's Advantage

While not included on the form, a useful adjunct to the decision-making involved in perioperative resuscitation is the opportunity to withdraw care. This option is available no matter which of the options for perioperative resuscitation is chosen. The ability to give the patient a trial of therapy, such as mechanical ventilation, is one of the better ways to fulfill patients’ end-of-life requests to be the recipient of resuscitative efforts without the possibility of getting stuck on the ventilator. Choosing this option, for example, is a way of declaring that the burden of a few days of ventilatory support may be worth the potential benefit of extubation of the trachea but that the burden of long-term ventilation is not worth it, especially if there is a decreasing likelihood of success. If the time-limited trial is deemed unsuccessful in light of the declared goals, then mechanical ventilation may be withdrawn. The act of withholding therapy requires greater certainty in the likelihood that a therapy will fail than does withdrawing a therapy after it has been shown to be unsuccessful.

Conclusion

Using a form with Options 1-4 will facilitate communication and documentation. Its success still depends on the willingness and ability of the caregivers to take the time to engage the patient in discussion and to ensure that patients' well-documented wishes are followed. DNR orders are predicated on the idea that patients may choose to forgo certain procedures and their possible benefits because they reject the associated burdens. The burdens may be related to either the resuscitation attempt itself or to the decrement in functional or cognitive capacity that may follow a successful attempt at resuscitation. Discussions about perioperative resuscitation should focus on determining which option best fits the patient's views of the expected benefits and potential burdens.



    David B. Waisel, M.D., is Assistant in Anesthesia, Children's Hospital, Instructor in Anesthesia, Harvard Medical School, Department of Anesthesia, Children's Hospital, Boston, Massachusetts.


    Robert D. Truog, M.D., is Professor of Anesthesia (Pediatrics) and Professor of Medical Ethics, Harvard Medical School and Director, Multidisciplinary Intensive Care Unit, Children's Hospital, Boston,



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