Ethics and Medico Legal Aspects of "not for Resuscitation"
Overview
Affiliations
Not for resuscitation in India still remains an abstract concept with no clear guidelines or legal frame work. Cardiopulmonary resuscitation is a complex medical intervention which is often used inappropriately in hospitalized patients and usually guided by medical decision making rather than patient-directed choices. Patient autonomy still remains a weak concept and relatives are expected to make this big decision in a short time and at a time of great emotional distress. This article outlines concepts around ethics and medico legal aspects of not for resuscitation, especially in Indian setting.
ICMR Consensus Guidelines on 'Do Not Attempt Resuscitation'.
Mathur R Indian J Med Res. 2020; 151(4):303-310.
PMID: 32461393 PMC: 7371064. DOI: 10.4103/ijmr.IJMR_395_20.
Myatra S, Salins N, Iyer S, Macaden S, Divatia J, Muckaden M Indian J Crit Care Med. 2014; 18(9):615-35.
PMID: 25249748 PMC: 4166879. DOI: 10.4103/0972-5229.140155.
Macaden S, Salins N, Muckaden M, Kulkarni P, Joad A, Nirabhawane V Indian J Palliat Care. 2014; 20(3):171-81.
PMID: 25191002 PMC: 4154162. DOI: 10.4103/0973-1075.138384.
Kumar S, Sisodia V Indian J Palliat Care. 2013; 19(3):170-9.
PMID: 24347908 PMC: 3853396. DOI: 10.4103/0973-1075.121535.