Download Clinical Ethics in Anesthesiology: A Case-Based Textbook by Gail A. Van Norman et al. (eds.) PDF

By Gail A. Van Norman et al. (eds.)

Moral matters dealing with anesthesiologists are extra far-reaching than these regarding nearly the other clinical forte. during this medical ethics textbook, authors from around the united states, Canada and Europe draw on moral rules and sensible wisdom to supply a pragmatic figuring out of moral anesthetic perform. the result's a compilation of professional opinion and foreign views from scientific leaders in anesthesiology. development on real-life, case-based difficulties, each one bankruptcy is clinically targeted and addresses either sensible and theoretical concerns. themes contain common working room care, pediatric and obstetrical sufferer care, the extensive care unit, ache perform, learn and ebook, in addition to discussions of deadly injection, disclosure of error, specialist witness testimony, triage in catastrophe and conflicts of curiosity with undefined. a massive reference software for any anesthesiologist, no matter if medical or research-oriented, this ebook is mainly invaluable for physicians all for educating citizens and scholars in regards to the moral points of anesthesia perform.

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Example text

Emergency department physicians and ethicists have thus considered the need for a pre-hospital DNR policy based on medical futility. As of 1991 when the US Federal Patient SelfDetermination Act was mandated, Montana was the only US state to have a policy that provided civil and criminal immunity for EMS technicians who terminated resuscitative efforts in good faith in the field. At that time, other states restricted the use of pre-hospital DNR orders to only hospice programs, patients being transferred between institutions or terminally ill patients.

Health and Soc Work, 23(2), 116–26. Section 1 Chapter 2 Consent and refusal Informed refusal – DNR orders in the patient undergoing anesthesia and surgery and at the end-of-life David M. Rothenberg The Case A 67-year-old male with oxygen-dependent COPD requires a series of electroconvulsive therapies (ECT) for severe depression refractory to medical therapy. The patient has consented to general anesthesia with mask ventilation for these procedures, but refuses endotracheal intubation irrespective if it might be life-sustaining in the event of respiratory or circulatory arrest.

Nz. 16* General Medical Council Guidance for doctors. Consent: patients and doctors making decisions together. 2008 GMC, UK. 17 US case law; see chapter text. 11 Section 1. S. (2007). Assessment of patients’ competence to consent to treatment. New Eng J Med, 357, 1834–40. Badcott, D. (2005). The expert patient: valid recognition or false hope? Med Health Care Philos, 8(2), 173–8. Bird, S. (2004). Does my patient have capacity to consent to treatment? Aust Fam Physician, 33(8), 638–9. Council of Europe.

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