Clinical Ethics in Anesthesiology: A Case-Based Textbook Book

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.