Capacity to Give Surgical Consent Does Not Imply Capacity to Give Anesthesia Consent: Implications for Anesthesiologists
| Autor: | Denis L. Bourke, F. Jacob Seagull, Neil B. Sandson, David Loreck, Catherine Marcucci |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Male
medicine.medical_specialty Consent Forms Anesthesiology Informed consent Obtaining consent Anesthesia consent Humans Medicine Anesthesia Valid consent Aged Informed Consent business.industry Middle Aged Surgical procedures medicine.disease humanities Anesthesiology and Pain Medicine Surgical Procedures Operative Medical emergency Comprehension business Separate legal entity |
| Zdroj: | Anesthesia & Analgesia. 110:596-600 |
| ISSN: | 0003-2999 |
| DOI: | 10.1213/ane.0b013e3181c7eb12 |
| Popis: | There is precedent in medicine for recognizing and accepting intact decisional capacity and the subsequent ability to provide valid consent in one treatment domain, while simultaneously recognizing that the patient lacks decisional capacity in other domains. As such, obtaining consent for anesthesia for a surgical procedure is a separate entity from obtaining consent for the surgery itself. Anesthesia for surgery and the surgical procedure itself are separate treatment domains and as such require separate consents. Anesthesiologists should understand the independence of these functionally linked consent processes and be vigilant with respect to the informed consent process. The cases reported in this article show that capacity for surgical consent may be inadequate for consent to anesthesia because anesthesia involves more abstract concepts requiring a higher cognitive state than surgery, thus requiring a higher state of cognitive capacity for understanding. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|