Association of Anaethetists: Implementing advance care plans in the peri-operative period

Question 1

Types of treatment escalation forms

Answer 1

• DNACPR forms
• Treatment escalation plan forms (TEP)
• Emergency care and treatment plans
• Recommended summary plan for emergency and treatment (ReSPECT)

Question 2

Pre-operative considerations for patients with treatment escalation plans

Answer 2

• Discuss with patients especially if changes are being made in the peri-operative period
• Important to MDT with surgeon, patient or acting power of attorney
• ## Discuss possible “suspension” of DNACPR in the peri-operative period given a higher chance of recovery