Anaes Vivas · Ethics, consent & medicolegal
Clinical viva — advance directive and end-of-life
A clinical viva on advance directive and end-of-life — binding refusal, DNACPR in perioperative period (suspension and reactivation), best-interest decision, patient/family involvement, and documentation.
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Study tools
Target exams
ANZCAFRCAABAEDAIC
Prompt
A junior colleague asks how you handle the advance directive and DNACPR for the perioperative patient. Walk them through the approach.
Stimulus
A junior colleague asks how you handle the advance directive ("no CPR, no ventilation") and DNACPR for the perioperative patient (elective surgery, general anaesthesia, reversible arrest risk). Walk them through the approach.
References2ShowHide
- [7]Vergano M, et al. Sliding doors at the bedside: conditional outcomes and moral judgments in end-of-life care. Crit Care, 2026.PMID 41965692
- [1]Taylor BES, et al. Ethical and medicolegal aspects in the management of neurosurgical emergencies. Clin Neurol Neurosurg, 2020.PMID 32222653