In which situation can a DNR order be continued for an unconscious patient during surgery?

A DNR (Do Not Resuscitate) order is a legal document that indicates that a patient does not wish to receive CPR or advanced cardiac life support in the event of cardiac arrest. In the context of surgery, the primary focus is ensuring informed consent, autonomy, and the patient's previously expressed wishes regarding their care.

In the case of an unconscious patient, the ability to continue a DNR order hinges on the expression of the patient’s preferences. A durable power of attorney (POA) is a legal document that designates an individual to make healthcare decisions on behalf of the patient when they are unable to do so themselves. When the durable POA requests that the DNR order be continued, it is understood as the patient's wishes being articulated by their designated decision-maker. This ensures that the patient's rights and choices are respected, even when they cannot communicate them directly.

The involvement of the patient’s family, the surgeon, or the CRNA, while important in many situations, does not hold the same legal weight as the directive made by a durable power of attorney when it comes to adhering to the patient's prior wishes regarding a DNR order. Thus, when the durable POA requests the continuation of the DNR during surgery, it aligns with legal