title: Advance Directives and Operating: Room for Improvement?
abstract: Anesthesiologists and surgeons are frequently called on to perform procedures on critically ill patients with advanced directives. We assessed the attitudes of attending and resident surgeons and anesthesiologists at our institution regarding their understanding of and practice around the application of consenting critically ill patients with advance directives in the operating room. To do so, we deployed a survey after interdepartmental grand rounds, featuring a panel discussion of ethically complex cases featuring end-of-life issues.
authors.affiliation: From the Departments of *Anesthesiology and Critical Care and †Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.
authors.forename: Rachel A
authors.initials: RA
authors.lastname: Hadler
authors.forename: Mark D
authors.initials: MD
authors.lastname: Neuman
authors.forename: Steven
authors.initials: S
authors.lastname: Raper
authors.forename: Lee A
authors.initials: LA
authors.lastname: Fleisher
mesh_terms: D024362:Advance Directive Adherence; D016223:Advance Directives / Q000941:ethics*; D000369:Aged, 80 and over; D000072080:Anesthesiologists / Q000193:education*; D016638:Critical Illness; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017410:Practice Guidelines as Topic; D066231:Surgeons / Q000193:education*; D011795:Surveys and Questionnaires; D056164:Teaching Rounds