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Palliative Care in Cardiac Intensive Care Units pp 139–146Cite as

Do-Not-Attempt-Resuscitation Orders in the Cardiac Intensive Care Unit

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Abstract

The concept of Do-Not Attempt CardioPulmonary Resuscitation (DNACPR) is increasingly recognised as inadequate to define the complexities and nuances surrounding healthcare, in particular related to critical care. As a result, a number of bodies are now recommending alternative approaches to resuscitation decisions, including replacing DNACPR orders with clearly defined treatment and resuscitation plans jointly determined by the MultiDisciplinary Team (MDT) and patient (or relatives/next of kin where they lack capacity). These include advance care planning with a broader reach, including decisions around resuscitation. This chapter outlines the challenges associated with DNACPR orders in the Cardiac Intensive Care Unit (CICU) setting and describes alternatives that are increasingly recommended in current healthcare practice.

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Authors and Affiliations

  1. Consultant Cardiologist & Intensivist, Royal Brompton Hospital, London, UK

    Susanna Price

  2. National Heart & Lung Institute, Imperial College, London, UK

    Susanna Price

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  1. Susanna Price
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Correspondence to Susanna Price .

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Editors and Affiliations

  1. Organizing Committee, Postgraduate Master In Palliative Care, University of Milan, Milano, Milano, Italy

    Massimo Romanò

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Price, S. (2021). Do-Not-Attempt-Resuscitation Orders in the Cardiac Intensive Care Unit. In: Romanò, M. (eds) Palliative Care in Cardiac Intensive Care Units. Springer, Cham. https://doi.org/10.1007/978-3-030-80112-0_9

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  • DOI: https://doi.org/10.1007/978-3-030-80112-0_9

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-80111-3

  • Online ISBN: 978-3-030-80112-0

  • eBook Packages: MedicineMedicine (R0)

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