This pamphlet provides an overview on Do Not Resuscitate (DNI) orders. A comparison of DNI and DNR orders is included.
Clark Nevada USLegal Pamphlet on Do Not Intubate - DNI
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Multi-State
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Clark
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US-PMPH-05
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FAQ
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.
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.
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.
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.
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.
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.
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.
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.
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