{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T05:34:37Z","timestamp":1790660077524,"version":"4.1.0"},"reference-count":7,"publisher":"Scientific Scholar","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:sec>\n            <jats:title\/>\n            <jats:p>Cardiopulmonary resuscitation (CPR) is widely practised by healthcare professionals to revive heart beat and breathing in a patient suffering from cardiac\/ respiratory arrest. It is increasingly being recognized that in some patients with specific medical conditions, CPR does not alter the overall outcome of illness, and is likely to increase suffering and further deteriorate the quality of life. Do Not Attempt Resuscitation (DNAR) as an option has been practised in many countries for such cases to avoid futile CPR and maintain dignity of the patient. The decision of DNAR should be taken by the treating physician who is well versed with the patient's medical condition, with information to the patient or her\/his surrogate. While ordering DNAR on the patient's medical case record, every effort should be made to treat the underlying disease and continue optimal medical care with compassion. This policy document describes the principles for DNAR, offers an algorithm and format for its implementation, and guidance on frequently asked questions.<\/jats:p>\n          <\/jats:sec>","DOI":"10.4103\/ijmr.ijmr_395_20","type":"journal-article","created":{"date-parts":[[2020,5,12]],"date-time":"2020-05-12T09:00:59Z","timestamp":1589274059000},"page":"303-310","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":35,"title":["ICMR Consensus Guidelines on \u2018Do Not Attempt Resuscitation\u2019"],"prefix":"10.25259","volume":"151","member":"10894","reference":[{"key":"R5-8-20241212","doi-asserted-by":"crossref","first-page":"h2640","DOI":"10.1136\/bmj.h2640","article-title":"When and how to discuss \u201cdo not resuscitate\u201d decisions with patients","volume":"350","author":"Etheridge","year":"2015","journal-title":"BMJ"},{"key":"R7-8-20241212","doi-asserted-by":"crossref","first-page":"504","DOI":"10.1056\/NEJMp1605597","article-title":"The DNR order after 40 years","volume":"375","author":"Burns","year":"2016","journal-title":"N Engl J Med"},{"key":"R8-8-20241212","doi-asserted-by":"crossref","first-page":"66","DOI":"10.4103\/0973-1075.68404","article-title":"Ethics and medico legal aspects of \u201cnot for resuscitation\u201d","volume":"16","author":"Salins","year":"2010","journal-title":"Indian J Palliat Care"},{"key":"R9-8-20241212","first-page":"100","article-title":"Do not resuscitate orders","volume":"3","author":"Adhikary","year":"2006","journal-title":"Indian J Med Ethics"},{"key":"R10-8-20241212","doi-asserted-by":"crossref","first-page":"96","DOI":"10.4103\/0972-5229.17097","article-title":"Limiting life-prolonging interventions and providing palliative care towards the end-of-life in Indian intensive care units","volume":"2","author":"Mani","year":"2005","journal-title":"Indian J Crit Care Med"},{"key":"R11-8-20241212","doi-asserted-by":"crossref","first-page":"851","DOI":"10.1007\/s13312-017-1149-4","article-title":"End-of-life care: Consensus statement by Indian Academy of Pediatrics","volume":"54","author":"Mishra","year":"2017","journal-title":"Indian Pediatr"},{"key":"R14-8-20241212","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1002\/ams2.271","article-title":"Do not attempt resuscitation order in Japan","volume":"4","author":"Nakagawa","year":"2017","journal-title":"Acute Med Surg"}],"container-title":["Indian Journal of Medical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.4103\/ijmr.IJMR_395_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T23:03:07Z","timestamp":1751497387000},"score":1,"resource":{"primary":{"URL":"https:\/\/ijmr.org.in\/icmr-consensus-guidelines-on-do-not-attempt-resuscitation\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,4]]},"references-count":7,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.4103\/ijmr.ijmr_395_20","relation":{},"ISSN":["0971-5916"],"issn-type":[{"value":"0971-5916","type":"print"}],"subject":[],"published":{"date-parts":[[2020,4]]}}}