A practical and ethical toolkit for last‐minute refusal of anesthetic in children

Autor:	John Massie, Lynn Gillam, Adam Skinner, Ian McKenzie
Rok vydání:	2021
Předmět:	Value (ethics) Adolescent media_common.quotation_subject education Best interests 03 medical and health sciences 0302 clinical medicine Nursing 030202 anesthesiology 030225 pediatrics Humans Medicine Respect for persons Child Moral injury Anesthetics media_common Service (business) business.industry Information sharing Debriefing humanities Anesthesiology and Pain Medicine Pediatrics Perinatology and Child Health Dissent business
Zdroj:	Pediatric Anesthesia. 31:834-838
ISSN:	1460-9592 1155-5645
DOI:	10.1111/pan.14201
Popis:	Children's fear of a procedure, including the anesthetic, is a common issue that operating theatre staff face. This fear is generally mitigated by preesthetic preparation and information sharing. Last-minute refusal of a procedure creates unique difficulties for the anesthetist and proceduralist. Refusal for a procedure raises issues of whether the dissent is binding, and if not, how best to get the child to theatre without creating moral injury. In this case review of a young adolescent who refuses to go to the operating theatre, we explore practical and ethical options to resolve the situation. We discuss respect for persons (including assent and consent), best interests, truth-telling, harm minimization, and restraint. The importance of a postevent debrief is discussed. We also assess the value of a clinical ethics service with team members embedded in clinical teams.
Databáze:	OpenAIRE
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