Clinical Ethics in Anesthesiology: A Case-Based Textbook (Cambridge Medicine (Paperback))

Cambridge University Press
Edition: Illustrated, 10/28/2010
EAN 9780521130646, ISBN10: 0521130646

Paperback, 318 pages, 24.6 x 18.8 x 1.5 cm
Language: English

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.

Preface
Part I. Consent and Refusal
1. Informed consent
respecting patient autonomy
2. Informed refusal
DNR orders in the patient undergoing anesthesia and surgery, and at the end of life
3. Informed refusal - the Jehovah's Witness patient
4. Surrogate decision-making
5. Informed consent and the pediatric patient
6. Do not resuscitate decisions in pediatric patients
7. Consent in laboring patients
8. Maternal-fetal conflicts
Cesarian delivery on maternal request
9. Consent for anesthesia for procedures with special societal implications
psychosurgery and electroconvulsive therapy
10. Ethical use of restraints
11. The use of ethics consultation regarding consent and refusal
12. Consent and cultural conflicts
ethical issues in pediatric anesthesiologists' participation in female genital cutting
13. Communitarian values in medical decision-making
Native Americans
14. Informed consent for perioperative testing
pregnancy testing and other tests involving sensitive patient issues
Part II. End-of-Life Issues
15. The principle of double effect in palliative care
euthanasia by another name?
16. Surgical interventions near the end of life
'therapeutic trials'
17. Withholding and withdrawing life support in the intensive care unit
18. Discontinuing pacemakers, ventricular assist devices and implanted cardioverter-defibrillators in end-of-life care
19. Brain death
20. Ethical issues in organ donation after cardiac death
21. Revising the uniform anatomical gift act
the role of physicians in shaping legislation
22. Physician aid in dying and euthanasia
Part III. Pain Management
23. Ethical considerations in interventional pain management
24. Conjoining interventional pain management and palliative care
considerations for practice, ethics and policy
25. Opioid therapy in addicted patients
background and perspective from the United Kingdom
26. Opioid therapy in addicted patients
background and perspective from the United States
Part IV. Research and Publication
27. Ethics in anesthesiology research using human subjects
28. Animal subjects research part I
do animals have rights?
29. Animal subjects part II
ethics of animal experimentation
30. Ethical function of human subjects review boards
a United States perspective
31. Research with vulnerable patients such as children and prisoners
32. The ethics of research on pain and other symptoms for which effective treatments already exist
33. Quality improvement initiatives
when is quality improvement actually a form of human subjects research?
34. Conflicts of interest in research funding
35. Publication ethics
obligations of authors, peer-reviewers and editors
Part V. Practice Issues
36. The impaired anesthesiologist - addiction
37. The impaired anesthesiologist - sleep deprivation
38. Ethical considerations regarding the disabled anesthesiologist
39. The abusive and disruptive physician
40. Sexual harrassment, discrimination and faculty-student intimate relationships in anesthesia practice
41. Conflicts of interest - industry gifts to physicians
42. Disclosure of medical errors in anesthesiology practice
43. Physician conscientious objection in anesthesiology practice
Part VI. Anesthesiologists, the State, and Society
44. The ethics of expert testimony
45. Ethical principles regarding physician response to disasters
pandemics, natural disasters and terrorism
46. Triage in civilian mass casualty situations
47. Triage and treatment of wounded during armed conflict
48. Physician facilitation of torture and coercive interrogation
49. Physician participation in execution
Index.