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J Clin Anesth. 2014 May;26(3):174-6. doi: 10.1016/j.jclinane.2013.11.011. Epub 2014 May 2.

Anesthesiologists' familiarity with the ASA and ACS guidelines on Advance Directives in the perioperative setting.

Author information

  • 1Department of Anesthesiology, Weill Cornell Medical College, New York, NY 10021, USA; Department of Anesthesiology, Hospital for Special Surgery, 535 East 70(th) St., New York, NY 10021, USA. Electronic address: nurokm@hss.edu.
  • 2Department of Anesthesiology, Weill Cornell Medical College, New York, NY 10021, USA; Department of Anesthesiology, Hospital for Special Surgery, 535 East 70(th) St., New York, NY 10021, USA.
  • 3Division of Medical Ethics, Weill Cornell Medical College, New York, NY 10021, USA.

Abstract

STUDY OBJECTIVE:

To assess anesthesiologists' familiarity with the American Society of Anesthesiologists (ASA) and American College of Surgeons (ACS) guidelines on Advance Directives in the perioperative setting.

DESIGN:

Single-center, 4-question anonymous survey.

SETTING:

Urban academic medical center.

SUBJECTS:

Up to 34 subjects responded to each question.

MEASUREMENTS AND MAIN RESULTS:

Familiarity with the ASA and ACS guidelines on Advance Directives in the perioperative setting ranged from 45% to 100%.

CONCLUSIONS:

There was inadequate familiarity with components of the ASA and ACS guidelines on advance directives in the perioperative setting. Larger studies are required to assess anesthesiologists' familiarity with national society guidelines that directly affect patient care. Future work should investigate best practices for guideline implementation, and consequences of poor adherence to national guidelines.

Copyright © 2014 Elsevier Inc. All rights reserved.

KEYWORDS:

Advance directives; Anesthesiologists; Compliance; End-of-life care; Guidelines; Operating room

PMID:
24793713
[PubMed - in process]
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