Journal of the Formosan Medical Association
Volume 109, Issue 3 , Pages 201-208 , March 2010

Survey of Do-not-resuscitate Orders in Surgical Intensive Care Units

  • Yu-Chen Huang

      Affiliations

    • Department of Surgery, National Taiwan University Hospital, Taipei, Taiwan
    • ,
  • Sheng-Jean Huang

      Affiliations

    • Department of Surgery, National Taiwan University Hospital, Taipei, Taiwan
    • Department of Traumatology, National Taiwan University Hospital, Taipei, Taiwan
    • Department of Surgery, National Taiwan University Hospital, Yun-Lin Branch, Yun-Lin, Taiwan
    • ,
  • Wen-Je Ko

      Affiliations

    • Department of Surgery, National Taiwan University Hospital, Taipei, Taiwan
    • Department of Traumatology, National Taiwan University Hospital, Taipei, Taiwan
    • Corresponding Author InformationCorrespondence to: Dr Wen-Je Ko, Department of Surgery, National Taiwan University Hospital, 7 Chung-Shan South Road, Taipei, Taiwan

Received 13 February 2009 ,Revised 19 May 2009 ,Accepted 17 July 2009.

References 

  1. Asch DA , Hansen-Flaschen J , Lanken PN . Decisions to limit or continue life-sustaining treatment by critical care physicians in the United States: conflicts between physi cians' practices and patients' wishes . Am J Respir Crit Care Med . 1995;151:288–292
  2. Faber-Langendoen K . A multi-institutional study of care given to patients dying in hospitals: ethical and practice implications . Arch Intern Med . 1996;156:2130–2136
  3. Hofmann JC , Wenger NS , Davis RB , et al.   Patient prefer ences for communication with physicians about end-of-life decisions: SUPPORT Investigators; study to understand prognoses and preference for outcomes and risks of treat ment . Ann Intern Med . 1997;127:1–12
  4. Bacchetta MD , Eachempati SR , Fins JJ , et al.   Factors influ encing DNR decision-making in a surgical ICU . J Am Coll Surg . 2006;202:995–1000
  5. Keenan SP , Busche KD , Chen LM . Withdrawal and withholding of life support in the intensive care unit: a comparison of teaching and community hospitals . Crit Care Med . 1998;26:245–251
  6. Phillips RS , Wenger NS , Teno J , et al.   Choices of seriously ill patients and cardiopulmonary resuscitation: correlated and outcomes. SUPPORT Investigators; study to understand prognoses and preference for outcomes and risks of treatment . Am J Med . 1996;100:128–137
  7. Stern SG , Orlowski JP . DNR or CPR—the choice is ours . Crit Care Med . 1992;20:1263–1272
  8. Barie PS , Bacchetta MD , Eachempati SR . The contemporary surgical intensive care unit. Structure, staffing, and issues . Surg Clin N Am . 2000;80:791–804
  9. Chen YS , Ko WJ , Lin FY , et al.   Preliminary result of an algorithm to select proper ventricular assist devices for high-risk patients with extracorporeal membrane oxygenation support . J Heart Lung Transplant . 2001;20:850–857
  10. Ko WJ , Lin CY , Chen RJ , et al.   Extracorporeal membrane oxygenation support for adult postcardiotomy cardiogenic shock . Ann Thorac Surg . 2002;73:538–545
  11. Bedell SE , Pelle D , Maher PL , et al.   Do-not-resuscitate orders for critically ill patients in the hospital. How are they used and what is their impact? . JAMA . 1986;256:233–237
  12. Gleeson K , Wise S . The do-not-resuscitate order. Still too little too late . Arch Intern Med . 1990;150:1057–1060
  13. Maksoud A , Jahnigen DW , Skibinski CI . Do not resuscitate orders and the cost of death . Arch Intern Med . 1993;153:1249–1253
  14. Hall RI , Rocker GM . End-of-Life Care in the ICU: treatments provided when life support was or was not withdrawn . Chest . 2000;118:1424–1430
  15. Esteban A , Gordo F , Solsona JF , et al.   Withdrawing and withholding life sustaining treatment in the intensive care unit: a Spanish prospective multi-centre observational study . Intensive Care Med . 2001;27:1744–1749
  16. Zimmerman JE , Knaus WA , Sharpe SM . The use and implications of do not resuscitate orders in intensive care units . JAMA . 1986;255:351–356
  17. Daly BJ , Gorecki J , Sadowski A , et al.   Do-not-resuscitate practices in the chronically critically ill . Heart Lung . 1996;25:310–317
  18. Jayes RL , Zimmerman JE , Wagner DP . Do-not-resuscitate orders in intensive care units: current practices and recent changes . JAMA . 1993;270:2213–2217
  19. Jayes RL , Zimmerman JE , Wagner DP , et al.   Variations in the use of do-not-resuscitate orders in ICUS. Findings from a national study . Chest . 1996;110:1332–1339
  20. Parker JM , Landry FJ , Phillips YY . Use of do-not-resuscitate orders in an intensive care setting . Chest . 1993;104:1592–1596
  21. Rapoport J , Teres D , Lemeshow S . Resource use implications of do not resuscitate orders for intensive care unit patients . Am J Respir Crit Care Med . 1996;153:185–190
  22. Youngner SJ , Lewandowski W , McClish DK . ‘Do not resuscitate’ orders: incidence and implications in a medical intensive care unit . JAMA . 1985;253:54–57
  23. Cook DJ , Guyatt GH , Jaeschke R . Determinants in Canadian health care workers of the decision to withdraw life support from the critically ill . JAMA . 1995;273:703–708

PII: S0929-6646(10)60043-5

doi: 10.1016/S0929-6646(10)60043-5

Journal of the Formosan Medical Association
Volume 109, Issue 3 , Pages 201-208 , March 2010

Article Tools