Clinical Ethics in Anesthesiology: A Case-Based Textbook

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Gail A. Van Norman, Stephen Jackson, Stanley H. Rosenbaum, Susan K. Palmer
Cambridge University Press, Oct 28, 2010 - Medical
Ethical issues facing anesthesiologists are more far-reaching than those involving virtually any other medical specialty. In this clinical ethics textbook, authors from across the USA, Canada and Europe draw on ethical principles and practical knowledge to provide a realistic understanding of ethical anesthetic practice. The result is a compilation of expert opinion and international perspectives from clinical leaders in anesthesiology. Building on real-life, case-based problems, each chapter is clinically focused and addresses both practical and theoretical issues. Topics include general operating room care, pediatric and obstetrical patient care, the intensive care unit, pain practice, research and publication, as well as discussions of lethal injection, disclosure of errors, expert witness testimony, triage in disaster and conflicts of interest with industry. An important reference tool for any anesthesiologist, whether clinical or research-oriented, this book is especially valuable for physicians involved in teaching residents and students about the ethical aspects of anesthesia practice.
 

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Contents

2 Informed refusal DNR orders in the patient undergoing anesthesia and surgery and at the endoflife
13
3 Informed refusal the Jehovahs Witness patient
19
4 Surrogate decisionmaking
27
5 Informed consent and the pediatric patient
33
6 Do not resuscitate decisions in pediatric patients
39
7 Consent in laboring patients
44
Cesarean delivery on maternal request
49
psychosurgery and electroconvulsive therapy
55
Ethics of animal experimentation
174
a US perspective
180
31 Research with vulnerable persons such as children and prisoners
185
32 The ethics of research on pain and other symptoms for which effective treatments already exist
193
when is quality improvement actually a form of human subjects research?
199
34 Conflicts of interest in research funding
204
obligations of authors peerreviewers and editors
209
5 Practice issues
217

10 Ethical use of restraints
61
11 The use of ethics consultation regarding consent and refusal
64
ethical issues in pediatric anesthesiologists participation in female genital cutting
69
Native Americans
74
pregnancy testing and other tests involving sensitive patient issues
79
2 Endoflife issues
85
therapeutic trials
92
17 Withholding and withdrawing life support in the intensive care unit
97
18 Discontinuing pacemakers ventricular assist devices and implanted cardioverterdefibrillators in endoflife care
103
19 Brain death
108
20 Ethical issues in organ donation after cardiac death
114
21 Revising the Uniform Anatomical Gift Act the role of physicians in shaping legislation
123
22 Physician aidindying and euthanasia
128
3 Pain management
135
background and perspective from the UK
148
4 Research and publication
161
Do animals have rights?
168
37 The impaired anesthesiologist sleep deprivation
224
38 Ethical considerations regarding the disabled anesthesiologist
230
39 The abusive and disruptive physician
235
40 Sexual harassment discrimination and facultystudent intimate relationships in anesthesia practice
240
41 Conflicts of interest industry gifts to physicians
245
42 Disclosure of medical errors in anesthesiology practice
250
The Case
257
Key points
260
Anesthesiologists the state and society
261
pandemics natural disasters and terrorism
266
46 Triage in civilian mass casualty situations
270
47 Triage and treatment of wounded during armed conflict
275
48 Physician facilitation of torture and coercive interrogation
280
49 Physician participation in executions
285
Index
292
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About the author (2010)

Gail A. Van Norman is Professor of Anesthesiology and Pain Medicine and Adjunct Professor of Biomedical Ethics, University of Washington, Seattle, Washington, USA.

Susan K. Palmer is Staff Anesthesiologist and Patient Safety Committee Chair, Oregon Anesthesiology Group (OAG), and Patient Safety Organization (PSO) Co-Chair, Anesthesia Business Group (ABG), Eugene, OR, USA.

Steve Jackson is Chief of Staff (retired), Department of Anesthesiology, and Chair of the Bioethics Committee, Good Samaritan Hospital San Jose, CA, USA.

Stanley H. Rosenbaum is Professor of Anesthesiology, Internal Medicine and Surgery, Director, Section of Perioperative and Adult Anesthesia, and Vice Chairman for Academic Affairs, Department of Anesthesiology, Yale University School of Medicine, New Haven, CT, USA.

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