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Obligations and frustrations with high-risk patients: ethics of physicians' evaluations.
- Source :
-
Journal of vascular surgery [J Vasc Surg] 2015 Feb; Vol. 61 (2), pp. 533-4. - Publication Year :
- 2015
-
Abstract
- A surgeon, Dr A. Droit, has been following a 97-year-old male with a type IV thoracoabdominal aneurysm, which became symptomatic this morning and is leaking. The patient is frail but active with no important comorbidities. The anatomy demands an open procedure. The patient is a former renowned physician who has been a longtime family friend of Dr Droit-like a grandfather. He presented incoherent with sagging blood pressure. A complicating factor is that Dr D. Rag, the chief anesthesiologist, decided that neither he nor any of his staff would provide anesthesia. Dr Droit knows an anesthesiologist who handles high-risk patients at another hospital in the medical center. The patient has worsened over the last hour, is becoming more unstable, and is unable to respond but his wife wishes to consent for surgery. What should Dr Droit do?<br /> (Copyright © 2015 Society for Vascular Surgery. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Age Factors
Aged, 80 and over
Anesthesia adverse effects
Anesthesia ethics
Anesthesia Department, Hospital ethics
Aortic Aneurysm, Thoracic diagnosis
Aortic Aneurysm, Thoracic physiopathology
Health Services Accessibility ethics
Hemodynamics
Humans
Informed Consent ethics
Male
Patient Transfer ethics
Refusal to Treat ethics
Risk Assessment
Risk Factors
Spouses
Vascular Surgical Procedures adverse effects
Aortic Aneurysm, Thoracic surgery
Attitude of Health Personnel
Health Knowledge, Attitudes, Practice
Moral Obligations
Patient Selection ethics
Physician's Role
Vascular Surgical Procedures ethics
Subjects
Details
- Language :
- English
- ISSN :
- 1097-6809
- Volume :
- 61
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Journal of vascular surgery
- Publication Type :
- Editorial & Opinion
- Accession number :
- 25619578
- Full Text :
- https://doi.org/10.1016/j.jvs.2014.12.001