HOME >> MEDICINE >> NEWS
Anaesthetists need urgent guidance on patients who don't want to be resuscitated

UK anaesthetists could face accusations of euthanasia or assisted suicide if they follow Do Not Attempt Resuscitation (DNAR) Orders during surgery, according to an editorial in the July issue of Anaesthesia.

Patients who have surgery often need routine interventions during anaesthesia that could be classed as resuscitation, points out Consultant Anaesthetist Dr Michael McBrien from the Royal Victoria Hospital in Belfast, Northern Ireland.

But automatically suspending DNAR Orders during surgery is no longer an acceptable option, according to Dr McBrien and his editorial co-author, Dr Gary Heyburn, Associate Specialist Orthogeriatrician at the Hospital.

"If the anaesthetist were to proceed and strictly obey the general understanding of a DNAR order under such circumstances, it could possibly be construed as an act of euthanasia or assisted suicide" they stress.

McBrien and Heyburn say that UK clinicians urgently need national guidance on how to manage the growing number of DNAR orders, pointing out that American guidelines have been in place since 1993.

"It is surprising that no guidelines or serious discussions on this matter have appeared in the UK to parallel the developments in North America" adds Dr McBrien.

The need for guidelines has been given added impetus by the fact that the Mental Capacity Act is due to come into force next year and that the European Convention on Human Rights is now enshrined in UK Law.

From 1 April 2007, the Act will give formal legal recognition to the patient's right to make advance decisions about the care they receive and reinforce the common law position about DNAR Orders that already exists.

"The paternalistic primary ethical principal of the past, namely immediate medical benefit to the patient, has been overtaken" says Dr McBrien.

"If we are not to face litigation in the future we must read, understand and implement what the law requires from
'"/>

Contact: Annette Whibley
wordwizard@clara.co.uk
Blackwell Publishing Ltd.
28-Jun-2006


Page: 1 2

Related medicine news :

1. Experts call for urgent research into anti-epileptic drugs given to children
2. Disadvantaged TB patients urgently need social support to make medical treatment more effective
3. Humanitarian response urgently needed to address Lebanese health crisis
4. World Hypertension League calls for urgent action to get more hypertensive patients to goal
5. Doctors call for urgent review of cancer initiative
6. UK liver services need urgent improvement
7. National Service Framework for heart failure urgently needed
8. Research urgently needed to treat blood clots in children
9. Urgent need for guidance on mobile phone use in clinical care
10. Menopausal women dont get enough guidance on treatment options, Stanford survey shows
11. The ESC releases guidance document on Cardiac Rhythm Management product performance

Post Your Comments:
(Date:11/21/2014)... VogueQueen has released 18 new beach wedding ... coming holiday season. People who register at VogueQueen.com now ... The beach wedding dresses from VogueQueen.com have been very ... the premium quality fabrics and dedicated craftsmanship. These products ... environment, they would bring more fun to a lady’s ...
(Date:11/21/2014)... 2014 Midway through the research period ... (AIS) annual Directory of Health Plans, preliminary data shows ... of Health Plans is a comprehensive resource with enrollment ... the U.S. The 2015 edition will be ... Directory and Databases Division, the company’s exclusive in-house research ...
(Date:11/21/2014)... 2014 TruDenta, the creator of a ... and other jaw-related symptoms, has reported a nationwide rise ... head pain, neck pain, TMJ (temporomandibular joint) disorder, jaw ... have seen a 52% increase in the number of ... 300 doctors and their teams in 47 states are ...
(Date:11/21/2014)... 2014 Recently, DressVe.com , a renowned ... announced a new collection of fashion accessories. Furthermore, the company ... up to 95% off, on all its fashion items. Also, ... to the CEO of the company, their wedding dresses and ... now available at greatly discounted rates. , The CEO ...
(Date:11/21/2014)... November 21, 2014 Recently, TideStore.com, a ... accessories, has announced its special offer TideStore Thanksgiving ... items at TideStore.com are now provided with big discounts. ... 25. People can enjoy an extra 10% discount with ... their email addresses and have opportunities to win free ...
Breaking Medicine News(10 mins):Health News:Beach Wedding Dresses on Sale for the Coming Holiday Season at VogueQueen.com 2Health News:Data from Atlantic Information Services’s Forthcoming Directory Shows Volatility in U.S. Health Care Market 2Health News:National Rise In Patients Seeking Headache Relief 2Health News:DressVe.com Announces Its 2014 Special Friday Sales 2Health News:Thanksgiving Sales from TideStore.com 2
(Date:11/21/2014)... November 2014 Clementia ... gegeben, dass die Europäische Arzneimittel-Agentur (European ... als Orphan-Medizinprodukt an Palovarotene vergeben hat, ... Behandlung von Fibrodysplasia ossificans progressiva (FOP). ... genetische Krankheit, die von schmerzhaften, wiederkehrenden ...
(Date:11/21/2014)... DUBLIN, Ohio and MELVILLE, N.Y. ... (NYSE: CAH ), one of the world,s ... (NASDAQ: HSIC ), the world,s largest provider ... animal health and medical practitioners, today announced that the ... provide one of the most comprehensive service and product ...
(Date:11/21/2014)... YORK , Nov. 20, 2014  Market research firm ... the "Year of The Buy, in the medical device ... for medical devices will produce just 3% growth this ... actions, including acquisitions of product lines and entrance by ... annual survey of medical devices, The Global Market ...
Breaking Medicine Technology:Clementia Pharmaceuticals erhält EMA-Kennzeichnung als Orphan-Medizin für Palovarotene zur Behandlung von Fibrodysplasia ossificans progressiva 2Clementia Pharmaceuticals erhält EMA-Kennzeichnung als Orphan-Medizin für Palovarotene zur Behandlung von Fibrodysplasia ossificans progressiva 3Cardinal Health And Henry Schein Enter Into Long-Term Strategic Agreement To Serve Physician Offices 2Cardinal Health And Henry Schein Enter Into Long-Term Strategic Agreement To Serve Physician Offices 3Cardinal Health And Henry Schein Enter Into Long-Term Strategic Agreement To Serve Physician Offices 4Cardinal Health And Henry Schein Enter Into Long-Term Strategic Agreement To Serve Physician Offices 5Kalorama: 2014 The "Year of The Buy" in Medical Device Industry 2
Cached News: