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ETHICS IN MEDICINE   University of Washington School of Medicine

Do-Not-Resuscitate Orders
  during Anesthesia and Urgent Procedures:
Case 2

Mrs. P is a 74-year-old woman presenting for emergent treatment of a fracture-dislocation of her right hip, suffered in a fall at her nursing home. She appears frail, but is alert and oriented. She is accompanied by her daughter, and both state that they want her to receive full medical care. On admission two hours earlier, the emergency room physician heard a loud systolic murmur, and echocardiogram revealed critical aortic stenosis, with a valve area of 0.3 cm2. The surgeon suggests that the patient, because of her cardiac status and age, should have a DNR order in the chart.

Do you agree?

Discussion

Return to DNR during Surgery | Go to Case 1