Do-not-attempt-cardiopulmonary resuscitation decisions in critical care: The gap between theory and practice.
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Authors
Nandhabalan, Prashanth
de Beer, Thearina
Tobin, Robert
Harvey, Dan
Innes, Richard
D'Sa, Aaron
Metaxa, Victoria
Issue Date
2025-10-07
Type
Journal Article
Language
en
Keywords
DNACPR , autonomy , do not resuscitate
Alternative Title
Abstract
The provision or withholding of Cardiopulmonary Resuscitation (CPR) is often a source of much controversy. Do-Not-Attempt CPR (DNACPR) decisions have been discussed extensively from an ethical and legal point, not to mention featuring heavily in the news. We aim to discuss various aspects of DNACPR decision-making with particular relevance to the Intensive Care environment. In doing so, we highlight important concepts associated with decision-making and common challenges encountered. Firstly, we provide a broad oversight of the current context in which such decisions are made before describing the principal ethical points of consideration and their relevance. This is followed by insights from a legal point as well as practical suggestions for approaching such decisions. It is hoped that these will help to assist clinicians with making such complex decisions under challenging circumstances.
Description
Citation
Nandhabalan, P. et al. (2025) 'Do-not-attempt-cardiopulmonary resuscitation decisions in critical care: The gap between theory and practice', Journal of the Intensive Care Society. Available at: https://doi.org/10.1177/17511437251369306
Publisher
Sage
License
© The Intensive Care Society 2025.
Journal
Journal of the Intensive Care Society
Volume
Issue
PubMed ID
ISSN
1751-1437