The ethical concerns of seeking consent from critically ill, mechanically ventilated patients for research – A matter of possessing capacity or surrogate insight
Autor: | Avelino C. Verceles, Waqas Bhatti |
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Rok vydání: | 2018 |
Předmět: |
medicine.medical_specialty
business.industry Critically ill Sedation MEDLINE Medicine (miscellaneous) Article humanities 03 medical and health sciences Philosophy Issues ethics and legal aspects 0302 clinical medicine Clinical research 030228 respiratory system Informed consent Intensive care Ethical concerns Medicine Delirium 030212 general & internal medicine medicine.symptom business Intensive care medicine |
Zdroj: | Clinical Ethics. 13:107-111 |
ISSN: | 1758-101X 1477-7509 |
DOI: | 10.1177/1477750918762350 |
Popis: | Conducting clinical research on subjects admitted to intensive care units is challenging, as they frequently lack the capacity to provide informed consent due to multiple factors including intensive care unit acquired delirium, coma, the need for sedation, or underlying critical illness. However, the presence of one or more of these characteristics does not automatically designate a potential subject as lacking capacity to provide their own informed consent. We review the ethical issues involved in obtaining informed consent for medical research from mechanically ventilated, critically ill patients, in addition to the concerns that may arise when a legally authorized representative is asked to provide informed consent on behalf of these patients. |
Databáze: | OpenAIRE |
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