Traduction en anglais : Ethical dilemmas during anaesthesia : do-not-resuscitate orders in the operating room.
Patients have the right to make decisions concerning their health care.
The right to consent to or refuse treatment based on the ethical principle of autonomy.
Respecting a patient's autonomy has emerged as one ofthe leading principles in medical ethics in the last years.
In the United States, the Patient Self-Determination Act of 1991 stated that all patients admitted to hospital have to be informed about their right to prepare advance directives and to refuse life-prolonging treatment.
Do-not-resuscitate (DNR) orders have been established to provide a mechanism for withholding specific resuscitative therapies in the event of cardiac arrest.
Patients may write DNR orders to express in advance their preferences at a time when they are capable of making informed decisions.
Terminally ill patients may need palliative surgical interventions to relieve pain or facilitate care.
In patients with DNR orders undergoing anaesthesia and surgical procedures, the DNR status in the operating room is increasingly a matter of ethical conflict.
Anaesthetic care virtually always implies the provision of resuscitative measures if necessary.
Interventions like intubation, mechanical ventilation, or administration of vasoactive drugs may be regarded as a part of resuscitative efforts.
There is a remarkable lack of consistency in policies and practices in hospitals regarding interpretation of DNR orders during the perioperative period. (...)
Mots-clés Pascal : Réanimation, Prise décision, Ethique, Bloc opératoire, Anesthésie générale, Allemagne, Europe, Homme
Mots-clés Pascal anglais : Resuscitation, Decision making, Ethics, Operating room, General anesthesia, Germany, Europe, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0271485
Code Inist : 002B30A09. Création : 15/07/1997.