Ethical Issues in Anesthesiology and Surgery by Barbara G. Jericho

By Barbara G. Jericho

Each bankruptcy contains a moral problem provided as a scientific case situation that readers might relate to of their day-by-day perform of anesthesiology and surgical procedure. the moral matters surrounding every one chapter’s content material are tested in an simply comprehensible demeanour for the explicit target market to enhance the certainty and administration of moral dilemmas in sufferer care. ​Informed consent concerns for the grownup and pediatric sufferer, perioperative concerns of do-not-resuscitate orders, moral problems with drug shortages, transplantation ethics, surgical care of sufferers and futility, conscientious objection, knowledgeable consent and disclosure of doctor adventure, and study and ebook ethics are incorporated and according to the event of the Editor and the roster of contributors.

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Atkins RF, Roizen MF. Predicting the utility of the preoperative electrocardiogram: ageism and its economic impact. J Clin Monit. 1994;10:70–2. 16. Noordzij PG, Boersma E, Bax JJ, Feringa HH, Schreiner F, Schouten O, et al. Prognostic value of routine preoperative electrocardiography in patients undergoing noncardiac surgery. Am J Cardiol. 2006;97:1103–6. 17. Fleisher LA. The preoperative electrocardiogram: what is the role in 2007? Ann Surg. 2007;246:171–2. 18. Munro J, Booth A, Nicholl J. Routine preoperative testing: a systematic review of the evidence.

HIV and Hepatitis Screening testing for the presence of HIV and hepatitis infection may be advisable in some limited patient populations. For example, screening in pregnant women may increase the probability that an infant born to an HIV-positive mother can receive early therapy and avoid chronic HIV infection. But screening in the routine preoperative population is impossible to justify. 4% in a large population) [39]. Weber and colleagues concluded that the costs of testing are not warranted by the results [39].

Further testing always increases cost–through the cost of the test itself and the cost of managing any complications or treatments that may result from it. In our clinical case, further testing had the unintended consequence of exhausting peripheral intravenous access, necessitating a more invasive procedure that was then attended by a potential life-threatening complication. Systematic over-testing increases the cost of health care to all patients in an already over-burdened health care system.

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