The role of Advance Directives and Living Wills in Anesthesia Practice.
Advance care planning
End-of-life
Patient-centered care
Shared decision-making
Journal
Anesthesiology clinics
ISSN: 1932-2275
Titre abrégé: Anesthesiol Clin
Pays: United States
ID NLM: 101273663
Informations de publication
Date de publication:
Sep 2024
Sep 2024
Historique:
medline:
26
7
2024
pubmed:
26
7
2024
entrez:
25
7
2024
Statut:
ppublish
Résumé
Preoperative review of existing advance directives and a discussion of patient goals should be routinely done to address any potential limitations on resuscitative therapies during perioperative care. Both surgeons and anesthesiologists should be collaboratively involved in these discussions, and all perioperative physicians should receive training in shared decision making and goals of care discussions. These discussions should center around patient preferences for limitations on life-sustaining medical therapy, which should be accurately documented and adhered to during the perioperative period. Patients should be informed that limitations of life-sustaining medical therapy may increase their risk of postoperative mortality.
Identifiants
pubmed: 39054014
pii: S1932-2275(24)00009-0
doi: 10.1016/j.anclin.2024.02.001
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
377-392Informations de copyright
Copyright © 2024 Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
Disclosure The authors have nothing to disclose. No funding supported this work. MJD acknowledges additional support from a Foundation for Anesthesia and Education Research GEMSSTAR grant, Merck Investigator Studies Program grant, and a National Alzheimer’s Coordinating Center New Investigator Award. MMT acknowledges additional support from the NIH/NHLBI, NIH/NIGMS, and Edwards Lifesciences.