围手术期预立医嘱：在手术室不进行心肺复苏。
Perioperative Advance Directives: Do Not Resuscitate in the Operating Room.
机构信息
Department of Surgery, Rutgers New Jersey Medical School, 185 South Orange Avenue, MSB G-526, Newark, NJ 07103, USA.
Section of Urologic Oncology, Division of Urology, Department of Surgery, Rutgers Robert Wood Johnson Medical School, Rutgers Cancer Institute of New Jersey, 195 Little Albany Street Room 4563, New Brunswick, NJ 08903, USA.
出版信息
Surg Clin North Am. 2019 Oct;99(5):859-865. doi: 10.1016/j.suc.2019.06.006. Epub 2019 Jul 20.
Surgeons, anesthesiologists, and nurses are frequently asked to operate on patients with an existing Do Not Resuscitate (DNR) order, resulting in confusion about the proper approach. We discuss the origins of decisions not to attempt resuscitation, the special circumstances surrounding the need for resuscitation intraoperatively, and reasons to suspend, or not suspend, the DNR order during the perioperative period. DNR should be part of a comprehensive discussion of a patient and family's goals of care. A clear understanding of those goals will lead the care team to a better understand the role of perioperative resuscitation for that individual patient.
外科医生、麻醉师和护士经常被要求为已经下达了“不复苏”（DNR）医嘱的患者进行手术，这导致他们对正确的处理方法感到困惑。我们讨论了不进行复苏决策的起源，围术期需要复苏的特殊情况，以及在围术期暂停或不暂停 DNR 医嘱的原因。DNR 应该是患者和家属的治疗目标的全面讨论的一部分。对这些目标的清晰理解将使治疗团队更好地了解围术期复苏对该患者的作用。
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