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Publisher:
Cambridge University Press
Online publication date:
March 2012
Print publication year:
2010
Online ISBN:
9780511841361

Book description

Ethical issues facing anesthesiologists are more far-reaching than those involving virtually any other medical specialty. In this clinical ethics textbook, authors from across the USA, Canada and Europe draw on ethical principles and practical knowledge to provide a realistic understanding of ethical anesthetic practice. The result is a compilation of expert opinion and international perspectives from clinical leaders in anesthesiology. Building on real-life, case-based problems, each chapter is clinically focused and addresses both practical and theoretical issues. Topics include general operating room care, pediatric and obstetrical patient care, the intensive care unit, pain practice, research and publication, as well as discussions of lethal injection, disclosure of errors, expert witness testimony, triage in disaster and conflicts of interest with industry. An important reference tool for any anesthesiologist, whether clinical or research-oriented, this book is especially valuable for physicians involved in teaching residents and students about the ethical aspects of anesthesia practice.

Reviews

'Rather than attempting to provide simple answers to … complex ethical problems, this book sets out to identify the principles underlying a wide variety of issues that a practising anaesthesiologist may encounter … [a] must-read textbook for all readers interested in addressing ethics issues in practice with the information essential to form proper and moral decisions.'

Martin Dauber Source: Journal of the American Medical Association

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Contents


Page 3 of 3


  • 47 - Triage and treatment of wounded during armed conflict
    pp 275-279
  • View abstract

    Summary

    Ethical principles of beneficence and nonmaleficence require that physicians strive to improve medical knowledge to improve patients' lives and avoid harmful or ineffective treatments. Publication serves critical processes in promoting the integrity and efficacy of the medical profession, and thereby in promoting patient wellbeing. Publication is a critical part of academic medicine, and sets scholarly work apart from the practice of medicine. Plagiarism violates ethical principles of nonmaleficence and justice. Authors have ethical obligations to be truthful regarding credit for the work and outcomes of research. Fabrication and falsification of data, plagiarism, misleading assignment of authorship and redundant publications all are detrimental to the mission of medical publication. Peer reviewers have obligations to be competent, fair, and balanced, and free of conflicts of interest in reviewing medical manuscripts. Journal editors have parallel responsibilities to assure accuracy in the medical literature.
  • 49 - Physician participation in executions
    pp 285-291
  • View abstract

    Summary

    Chemical dependence in the form of addiction is a chronic relapsing disease characterized by the overwhelming compulsion to use drugs in spite of adverse consequences. The practice of anesthesiology provides the setting for a susceptible host by offering an environment in which powerfully addictive drugs are immediately available for abuse. Addictive disease in the form of chemical dependency is present in all classes, cultures, and professions including healthcare professionals. A major occupational hazard of anesthesiologists is the development of addictive disease, which, in the light of the specialty's powerful drugs, often involves a rapidly progressive, life- and career-threatening pattern of behavior. Anesthesiologists have an ethical responsibility to be knowledgeable about addiction, to detect it in its earliest stages, and to support the treatment, rehabilitation, and eventually, if appropriate, reentry into the workplace of a recovering colleague.

Page 3 of 3


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