A survey of Australian and New Zealand anaesthetists' attitudes towards resuscitation orders in the perioperative setting

Z. Keon-Cohen, P. S. Myles, D. A. Story

Research output: Contribution to journalReview ArticleResearchpeer-review

Abstract

Not for resuscitation (NFR) orders are often suspended during anaesthesia, as perioperative care is believed to inherently involve the need for resuscitation including ventilation support. Recent legislative changes in Australia, New Zealand and the UK have enacted the binding nature of advance care directives (ACDs) in healthcare. National guidelines regarding codes of practice and government strategic plans for implementing advance care planning have reinforced the role for advance care planning in modern healthcare. We surveyed a random selection of Australian and New Zealand consultant and trainee anaesthetists to assess their attitudes towards NFR orders and ACDs in the perioperative setting. We received 290 of 790 distributed surveys (37% response rate). The majority (75%) of respondents reported their knowledge as very low, low, or moderate; 37% never or rarely were treating a patient who had an ACD. Over 90% reported that patient's wishes and understanding of ACDs is important and 89% agreed or strongly agreed that advance care planning should be a routine part of hospital admission for high risk patients. Despite this, only 45% of the respondents would always follow an ACD. Although the majority of respondents to this survey support their use in the perioperative setting, clarification of the specific applicability of ACDs to anaesthesia and their binding nature is required.

Original languageEnglish
Pages (from-to)396-402
Number of pages7
JournalAnaesthesia and intensive care
Volume45
Issue number3
Publication statusPublished - 1 May 2017

Keywords

  • Advance care planning
  • Attitudes
  • Informed consent
  • Resuscitation

Cite this

@article{b2a7fd5862794300beecf657a63f77e6,
title = "A survey of Australian and New Zealand anaesthetists' attitudes towards resuscitation orders in the perioperative setting",
abstract = "Not for resuscitation (NFR) orders are often suspended during anaesthesia, as perioperative care is believed to inherently involve the need for resuscitation including ventilation support. Recent legislative changes in Australia, New Zealand and the UK have enacted the binding nature of advance care directives (ACDs) in healthcare. National guidelines regarding codes of practice and government strategic plans for implementing advance care planning have reinforced the role for advance care planning in modern healthcare. We surveyed a random selection of Australian and New Zealand consultant and trainee anaesthetists to assess their attitudes towards NFR orders and ACDs in the perioperative setting. We received 290 of 790 distributed surveys (37{\%} response rate). The majority (75{\%}) of respondents reported their knowledge as very low, low, or moderate; 37{\%} never or rarely were treating a patient who had an ACD. Over 90{\%} reported that patient's wishes and understanding of ACDs is important and 89{\%} agreed or strongly agreed that advance care planning should be a routine part of hospital admission for high risk patients. Despite this, only 45{\%} of the respondents would always follow an ACD. Although the majority of respondents to this survey support their use in the perioperative setting, clarification of the specific applicability of ACDs to anaesthesia and their binding nature is required.",
keywords = "Advance care planning, Attitudes, Informed consent, Resuscitation",
author = "Z. Keon-Cohen and Myles, {P. S.} and Story, {D. A.}",
year = "2017",
month = "5",
day = "1",
language = "English",
volume = "45",
pages = "396--402",
journal = "Anaesthesia and intensive care",
issn = "0310-057X",
publisher = "Australian Society of Anaesthetists",
number = "3",

}

A survey of Australian and New Zealand anaesthetists' attitudes towards resuscitation orders in the perioperative setting. / Keon-Cohen, Z.; Myles, P. S.; Story, D. A.

In: Anaesthesia and intensive care, Vol. 45, No. 3, 01.05.2017, p. 396-402.

Research output: Contribution to journalReview ArticleResearchpeer-review

TY - JOUR

T1 - A survey of Australian and New Zealand anaesthetists' attitudes towards resuscitation orders in the perioperative setting

AU - Keon-Cohen, Z.

AU - Myles, P. S.

AU - Story, D. A.

PY - 2017/5/1

Y1 - 2017/5/1

N2 - Not for resuscitation (NFR) orders are often suspended during anaesthesia, as perioperative care is believed to inherently involve the need for resuscitation including ventilation support. Recent legislative changes in Australia, New Zealand and the UK have enacted the binding nature of advance care directives (ACDs) in healthcare. National guidelines regarding codes of practice and government strategic plans for implementing advance care planning have reinforced the role for advance care planning in modern healthcare. We surveyed a random selection of Australian and New Zealand consultant and trainee anaesthetists to assess their attitudes towards NFR orders and ACDs in the perioperative setting. We received 290 of 790 distributed surveys (37% response rate). The majority (75%) of respondents reported their knowledge as very low, low, or moderate; 37% never or rarely were treating a patient who had an ACD. Over 90% reported that patient's wishes and understanding of ACDs is important and 89% agreed or strongly agreed that advance care planning should be a routine part of hospital admission for high risk patients. Despite this, only 45% of the respondents would always follow an ACD. Although the majority of respondents to this survey support their use in the perioperative setting, clarification of the specific applicability of ACDs to anaesthesia and their binding nature is required.

AB - Not for resuscitation (NFR) orders are often suspended during anaesthesia, as perioperative care is believed to inherently involve the need for resuscitation including ventilation support. Recent legislative changes in Australia, New Zealand and the UK have enacted the binding nature of advance care directives (ACDs) in healthcare. National guidelines regarding codes of practice and government strategic plans for implementing advance care planning have reinforced the role for advance care planning in modern healthcare. We surveyed a random selection of Australian and New Zealand consultant and trainee anaesthetists to assess their attitudes towards NFR orders and ACDs in the perioperative setting. We received 290 of 790 distributed surveys (37% response rate). The majority (75%) of respondents reported their knowledge as very low, low, or moderate; 37% never or rarely were treating a patient who had an ACD. Over 90% reported that patient's wishes and understanding of ACDs is important and 89% agreed or strongly agreed that advance care planning should be a routine part of hospital admission for high risk patients. Despite this, only 45% of the respondents would always follow an ACD. Although the majority of respondents to this survey support their use in the perioperative setting, clarification of the specific applicability of ACDs to anaesthesia and their binding nature is required.

KW - Advance care planning

KW - Attitudes

KW - Informed consent

KW - Resuscitation

UR - http://www.scopus.com/inward/record.url?scp=85019478629&partnerID=8YFLogxK

M3 - Review Article

VL - 45

SP - 396

EP - 402

JO - Anaesthesia and intensive care

JF - Anaesthesia and intensive care

SN - 0310-057X

IS - 3

ER -