This pamphlet provides an overview on Do Not Resuscitate (DNI) orders. A comparison of DNI and DNR orders is included.
South Carolina USLegal Pamphlet on Do Not Intubate - DNI
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US-PMPH-05
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FAQ
A DNR, or do not resuscitate order, specifically addresses resuscitation efforts, not intubation. Therefore, a patient with a DNR may still be intubated if it aligns with their medical needs and preferences. The South Carolina USLegal Pamphlet on Do Not Intubate - DNI can clarify these distinctions for patients and families. It's important to discuss these choices with healthcare providers to ensure everyone's understanding and wishes are respected.
Yes, DNI stands for 'do not intubate.' This directive indicates a patient's wish to avoid intubation, which is the insertion of a tube into the airway to assist with breathing. The South Carolina USLegal Pamphlet on Do Not Intubate - DNI provides essential information about this medical decision. Understanding DNI can help patients communicate their preferences clearly to healthcare providers.
Strictly defined, a do not resuscitate/do not intubate (DNR/DNI) status indicates a patient does not want to receive CPR or intubation in the event of cardiopulmonary arrest.
DNI's only apply to situations where a patient has no pulse or is not breathing, but they do not restrict any other clinically indicated care. There does not need to be a formal advance directive or living will to have DNR and DNI orders in place.
Strictly defined, a do not resuscitate/do not intubate (DNR/DNI) status indicates a patient does not want to receive CPR or intubation in the event of cardiopulmonary arrest.
DNR means that no CPR (chest compressions, cardiac drugs, or placement of a breathing tube) will be performed. A DNI or Do Not Intubate order means that chest compressions and cardiac drugs may be used, but no breathing tube will be placed.
During CPR, airway interventions range from compression-only CPR with or without airway opening, mouth-to-mouth ventilation, mouth-to-mask ventilation, bag-mask ventilation (with or without an oropharyngeal airway) or advanced airways (supraglottic airways (SGAs) and tracheal intubation using direct or video
When you request a Do Not Resuscitate (DNR) order, your doctor may ask you whether or not you also want a Do Not Intubate (DNI) order. The two are separate because you can have trouble breathing before your heartbeat or breathing stops. If your breathing problems continue, your heart or lungs may go into full arrest.
Choosing a Do Not Intubate Order DNI's only apply to situations where a patient has no pulse or is not breathing, but they do not restrict any other clinically indicated care. There does not need to be a formal advance directive or living will to have DNR and DNI orders in place.
