This pamphlet provides an overview on Do Not Resuscitate (DNI) orders. A comparison of DNI and DNR orders is included.
Middlesex Massachusetts USLegal Pamphlet on Do Not Intubate - DNI
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Middlesex
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US-PMPH-05
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FAQ
A DNR order does not mean "do not treat." Rather, it means only that CPR will not be attempted. Other treatments (for example, antibiotic therapy, transfusions, dialysis, or use of a ventilator) that may prolong life can still be provided.
A Do Not Resuscitate (DNR) order means that no CPR will be performed, to include chest compressions, cardiac drugs, or placement of a breathing tube. The main difference between a DNI and a DNR is that a DNI allows medical professionals to perform chest compressions and provide cardiac drugs.
Can you be DNR but not DNI? Yes, your loved one can have a DNR order, yet chooses not to have a DNI order. They want to have a tube placed in their airway so a ventilator can help with their breathing, as in the case of receiving treatment for pneumonia.
A Do Not Intubate (DNI) is a legal order that tells a healthcare team that a patient does not want to be intubated in the event of a life-threatening situation.
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.
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.
In medical terms, a DNI means that patients do not want a breathing tube inserted into their trachea, via the nose or mouth, to restore normal breathing.
Cullinan told Reuters Health that when patients request a partial code without intubation, he often uses either bag masks or BiPAP (bilevel positive airway pressure), which are noninvasive breathing therapies, instead of intubation.
In medical terms, a DNI means that patients do not want a breathing tube inserted into their trachea, via the nose or mouth, to restore normal breathing. If the patient's breathing remains impaired, the tube remains in place and is eventually connected to a ventilator to maintain breathing.