Scoliosis repair in a teenager with Duchenne's muscular dystrophy: who calls the shots?
| Autor: | Fiona Miles, Tim Dare |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Male
medicine.medical_specialty Adolescent media_common.quotation_subject MEDLINE Scoliosis Positive-Pressure Respiration Postoperative Complications Tracheostomy Pneumoperitoneum medicine Humans Anesthesia Orthopedic Procedures Muscular dystrophy media_common Surgical team business.industry Duchenne's Muscular Dystrophy Perioperative medicine.disease Respiration Artificial Risk perception Muscular Dystrophy Duchenne Anesthesiology and Pain Medicine Pediatrics Perinatology and Child Health Physical therapy business Autonomy |
| Zdroj: | Paediatric anaesthesia. 19(10) |
| ISSN: | 1460-9592 |
| Popis: | In this exchange, a clinician (the first author) presents a case scenario for comment by an ethicist (the second author). The case concerns a 15-year-old boy with Duchenne's muscular dystrophy requested palliative surgical correction of a 60 degree thoraco-lumbar scoliosis. The surgical team were initially reluctant to offer surgery given their assessment of the perioperative and postoperative risks (anesthetic review suggested an 80% chance of surviving the surgery and 50% likelihood of returning home), but the operation proceeded. The case raises issues of the rights of patients to insist on nonfutile but high risk surgery, risk perception, resource allocation, autonomy, and the integrity of clinicians. |
| Databáze: | OpenAIRE |
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