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American Journal of Hospice and Palliative Medicine®, Vol. 24, No. 3, 224-229 (2007)
DOI: 10.1177/1049909107301485
© 2007 SAGE Publications

Cardiopulmonary Resuscitation in Patients With Cancer

Joseph Varon, MD

Department of Internal Medicine, University of Texas Health Science Center at Houston, Houston, Texas

Paul E. Marik, MD

Division of Pulmonary and Critical Care Medicine, Department of Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania, paul.marik @jefferson.edu

Cancer is the second leading cause of death in the United States, with most of these deaths taking place in the hospital setting. Discussions on end-of-life care and on cardiopulmonary resuscitation in particular are an important component in the management of patients with cancer. Clinical decision making and respect for patient autonomy dictate that health care providers provide their patients with accurate information on the expected outcomes of cardiopulmonary resuscitation. This article reviews those factors that affect the outcome of cardiopulmonary resuscitation in patients with cancer and provides recommendations on obtaining do-not-resuscitate orders in these patients.

Key Words: cardiac arrest • cardiopulmonary resuscitation (CPR) • cancer • intensive care • neoplasms • survival • do-not-resuscitate (DNR)


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