Quick tip for families in intensive care: What is a silent DNR?

https://intensivecarehotline.com/blog/quick-tip-for-families-in-intensive-care-what-is-a-silent-dnr/

Quick tip for families in intensive care: What is a silent DNR?

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Hi, it’s Patrik Hutzel from intensivecarehotline.com with another quick tip for families in intensive care.

Now the quick tip today is about what is a silent DNR in intensive care? So most of you by now would know what a DNR or an NFR is in ICU. It stands for “Do Not Resuscitate or Not For Resuscitation” and it’s very dangerous and often cost lives if a DNR is issued. And if some of you have followed my blog for quite some time, you would know that the DNR or an NFR cannot be issued without your family or patient consent, even though hospitals and ICUs are trying to break that rule all the time.

But because they know they can’t really go against patient or family advice that they don’t want a DNR, there are ways for ICUs to work around it and that’s where the “silent DNR” comes in.

So a silent DNR basically means, yes on paper, your loved one is for full resuscitation for full treatment, but in the background, the ICU is actually only going at half steam and it’s not putting their best foot forward to get your loved one out of ICU alive.

So how does that show up? Well, it shows up with things like they’re not escalating treatment. They’re not giving inotropes or vasopressors if your loved one has a low blood pressure. They’re not treating any arrhythmias with the heart. They’re not treating any kidney failure.

Continuation...
https://intensivecarehotline.com/blog/quick-tip-for-families-in-intensive-care-what-is-a-silent-dnr/