Department of Anaesthesia, James Cook University Hospital, Chair of Working Party, Association of Anaesthetists, London, UK, Middlesbrough, UK.
Grange University Hospital, Association of Anaesthetists, London, UK, Cwmbran, UK.
Anaesthesia. 2022 Apr;77(4):456-462. doi: 10.1111/anae.15653. Epub 2022 Feb 15.
Contemporary guidance takes a patient-centred approach and recommends discussing and planning treatments that should be considered, not just those that should be withheld. Although some organisations and communities still use specific DNACPR (do not attempt cardiopulmonary resuscitation) forms to recommend that cardiopulmonary resuscitation is not attempted, this approach has been shown to have disadvantages and is no longer regarded as best practice. The following guidelines have been produced in response to this change. They are designed to help anaesthetists, as part of the wider healthcare team, to implement and respond to advance care planning documents before and during procedures. The guidelines apply to all procedures, however minor and low risk they are considered to be, and the same ethical and legal principles apply to procedures carried out under local or regional anaesthesia and/or conscious sedation, as well as to those under general anaesthesia.
当代指导方法采取以患者为中心的方法，建议讨论和规划应考虑的治疗方法，而不仅仅是应避免的治疗方法。尽管一些组织和社区仍然使用特定的 DNACPR（不进行心肺复苏）表格来建议不进行心肺复苏，但这种方法已被证明存在缺点，不再被视为最佳实践。以下指南是针对这一变化而制定的。它们旨在帮助麻醉师作为更广泛的医疗团队的一部分，在手术前和手术期间实施和响应预先护理计划文件。这些指南适用于所有程序，无论它们被认为多么轻微和低风险，并且相同的伦理和法律原则适用于在局部或区域麻醉和/或清醒镇静下进行的程序，以及在全身麻醉下进行的程序。
