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

ISBN-10: 0521130646

ISBN-13: 9780521130646

Moral matters dealing with anesthesiologists are extra far-reaching than these regarding almost the other scientific area of expertise. during this scientific ethics textbook, authors from around the united states, Canada and Europe draw on moral ideas and functional wisdom to supply a pragmatic figuring out of moral anesthetic perform. the result's a compilation of specialist opinion and overseas views from medical leaders in anesthesiology. construction on real-life, case-based difficulties, every one bankruptcy is clinically targeted and addresses either useful and theoretical matters. subject matters contain basic working room care, pediatric and obstetrical sufferer care, the extensive care unit, soreness perform, learn and ebook, in addition to discussions of deadly injection, disclosure of error, professional witness testimony, triage in catastrophe and conflicts of curiosity with undefined. an enormous reference instrument for any anesthesiologist, no matter if scientific or research-oriented, this ebook is principally precious for physicians concerned about educating citizens and scholars concerning the moral elements of anesthesia perform.

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Extra info for Clinical Ethics in Anesthesiology: A Case-Based Textbook

Example text

The bank teller who is forced at gunpoint to hand over money is an autonomous person, but she is being forced by the robber to make a choice against her will – to give up the money or risk being killed. She is autonomous, but her choice is not. She acts both with intention and understanding, but is under the irresistible power of a controlling influence. In the informed consent process, physicians have ethical obligations to avoid controlling influences that invalidate autonomous choice. Coercion Coercion occurs if one person both intentionally and successfully influences another by making a believable threat of harm that is sufficiently severe such that the other person is unable to resist acting to avoid it.

H. B. (1990). When do physicians request competency evaluations? Psychosomatics, 31, 40–6. , and Krishnan, E. (2007). Factors associated with patients who leave acute-care hospitals against medical advice. Am J Public Health, 97(12), 2204–8. 6 van Kleffens, T. and van Leeuwen, E. (2005) Physicians’ evaluations of patients’ decisions to refuse oncological treatment. J Med Ethics, 31,131–6. 7 Salgo v Leland Stanford, etc. Bd. Trustees, 154 Cal. 2d 560. 2d 772 (DC Cir. 1972). 9 Harnish V Children’s Hospital Medical Center (1982).

Appropriate sedative/analgesic therapies would be instituted if tracheal extubation would likely lead to respiratory and subsequent circulatory arrest, assuring comfort at the end-of-life and in keeping with the principle of the “double effect”. The patient was able to successfully complete a series of eight treatments and was discharged from the hospital with a DNR to be maintained at his chronic care facility. Key points • DNR orders may be written if CPR would be physiologically futile, or at the request of patients who feel that CPR would result in poorer quality of life.

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


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