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Letters |6 July 1999

Do-Not-Resuscitate Orders in Radiology Departments

John E. Heffner, MD

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Author, Article, and Disclosure Information
  • Medical University of South Carolina; Charleston, SC 29425 (Heffner)
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IN RESPONSE:
We appreciate Dr. Mylonakis' comments and agree with the recommendation that radiologists discuss end-of-life issues with their patients before invasive procedures. Management of DNR orders in the operating room is analogous in some respects to the transport of patients with a DNR status to the radiology department. Recent guidelines emphasize the importance of honoring DNR orders or negotiating with patients temporary DNR modifications during surgical procedures (1, 2). All recommended options emphasize the importance of physician–patient discussions that clearly establish the planned responses to life-threatening events before transfer to the operating room (3, 4). Our study indicates that the surveyed radiology departments rarely informed patients of departmental resuscitative practices even though 24% of programs would overrule DNR orders. Only 8.3% of programs that overruled DNR orders advised their patients of this practice.
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Heffner JE. Do-Not-Resuscitate Orders in Radiology Departments. Ann Intern Med. ;131:73. doi: 10.7326/0003-4819-131-1-199907060-00027

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Published: Ann Intern Med. 1999;131(1):73.

DOI: 10.7326/0003-4819-131-1-199907060-00027

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1999 American College of Physicians
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704

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