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Practices and Perspectives in Cardiopulmonary Resuscitation Attempts and the Use of Do Not Attempt Resuscitation Orders: A Cross-sectional Survey in Sri Lanka.
- Source :
-
Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine [Indian J Crit Care Med] 2017 Dec; Vol. 21 (12), pp. 865-868. - Publication Year :
- 2017
-
Abstract
- Objective: The objective of this study is to describe the characteristics of in-hospital cardiopulmonary resuscitation (CPR) attempts, the perspectives of junior doctors involved in those attempts and the use of do not attempt resuscitation (DNAR) orders.<br />Methods: A cross-sectional telephone survey aimed at intern doctors working in all medical/surgical wards in government hospitals. Interns were interviewed based on the above objective.<br />Results: A total of 42 CPR attempts from 82 hospitals (338 wards) were reported, 3 of which were excluded as the participating doctor was unavailable for interview. 16 (4.7%) wards had at least 1 patient with an informal DNAR order. 42 deaths were reported. 8 deaths occurred without a known resuscitation attempt, of which 6 occurred on wards with an informal DNAR order in place. 39 resuscitations were attempted. Survival at 24 h was 2 (5.1%). In 5 (13%) attempts, CPR was the only intervention reported. On 25 (64%) occasions, doctors were "not at all" or "only a little bit surprised" by the arrest.<br />Conclusions: CPR attempts before death in hospitals across Sri Lanka is prevalent. DNAR use remains uncommon.<br />Competing Interests: There are no conflicts of interest.
Details
- Language :
- English
- ISSN :
- 0972-5229
- Volume :
- 21
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 29307970
- Full Text :
- https://doi.org/10.4103/ijccm.IJCCM_314_17