The Effect of Vasopressor Use on the Morbidity and Mortality of DNR Patients
Project Description: "The yellow form employed by the State of Florida for a ÒDo Not Resuscitate OrderÓ (DNRO) states that the undersigned patient wishes cardiopulmonary resuscitation (CPR) to be withheld in the event of the patientÕs cardiac or respiratory arrest. This is further specified in parentheses to include artificial ventilation, cardiac compression, endotracheal intubation and defibrillation. What is not specified on the State of Florida DNRO form is whether or not the use of vasopressors is permitted. There are significant data about the likelihood of patients surviving CPR in the hospital. This information helps direct physician/patient discussions about the risks and benefits of CPR. The use of vasopressors is a key part of the ACLS algorithm for CPR, however, there are no current guidelines for vasopressor therapy in DNR patients. Each physician must arrive at a decision, if indicated, with the patient and their family whether or not to provide cardiopulmonary support with vasopressors."
Collaborators: (Robert.Leverence@medicine.ufl.edu); (Nila.Radhakrishnan@medicine.ufl.edu)
UF Health Big Aims: Reduce Variation None
MeSH Keywords: Vasopressor