Clinical Ethics in Anesthesiology. A Case-Based Textbook



1 Consent and refusal

1.Informed consent: respecting patient autonomy

2.Informed refusal - DNR orders in the patient undergoing anesthesia and surgery and at the end-of-life

3.Informed refusal - the Jehovah’s Witness patient

4. Surrogate decision-making

5. Informed consent and the pediatric patient

6. Do not resuscitate decisions in pediatric patients

7. Consent in laboring patients

8. Maternal-fetal conflicts: Cesarean delivery on maternal request

9. Consent for anesthesia for procedures with special societal implications: psychosurgery and electroconvulsive therapy

10. Ethical use of restraints

11. The use of ethics consultation regarding consent and refusal

12. Consent and cultural conflicts: ethical issues in pediatric anesthesiologists' participation in female genital cutting

13. Communitarian values in medical decision-making: Native Americans

14. Informed consent for preoperative testing: pregnancy testing and other tests involving sensitive patient issues

2. End-of-life issues

15. The principle of double effect in palliative care: euthanasia by another name?

16. Surgical interventions near the end of life: "therapeutic trials"

17. Withholding and withdrawing life support in the intensive care unit

18. Discontinuing pacemakers, ventricular assist devices, and implanted cardioverter-defibrillators in end-of-life care

19. Brain death

20. Ethical issues in organ donation after cardiac death

21. Revising the Uniform Anatomical Gift Act - the role of physicians in shaping legislation

22. Physician aid-in-dying and euthanasia

3. Pain management

23. Ethical considerations in interventional pain management

24. Conjoining interventional pain management and palliative care: considerations for practice, ethics and policy

25. Opioid therapy in addicted patients: background and perspective from the UK

26. Opioid therapy in addicted patients: background and perspective from the US

4. Research and publication

27. Ethics in anesthesiology research using human subjects

28. Animal subjects research Part I: Do animals have rights?

29. Animal subjects research Part II: Ethics of animal experimentation

30. Ethical function of human subjects review boards: a US perspective

31. Research with vulnerable persons such as children and prisoners

32. The ethics of research on pain and other symptoms for which effective treatments already exist

33. Quality improvement initiatives: when is quality improvement actually a form of human subjects research?

34. Conflicts of interest in research funding

35. Publication ethics: obligations of authors, peer-reviewers, and editors

5. Practice issues

36. The impaired anesthesiologist - addiction

37. The impaired anesthesiologist - sleep deprivation

38. Ethical considerations regarding the disabled anesthesiologist

39. The abusive and disruptive physician

40. Sexual harassment, discrimination, and faculty-student intimate relationships in anesthesia practice

41. Conflicts of interest - industry gifts to physicians

42. Disclosure of medical errors in anesthesiology practice

6. Anesthesiologists, the state, and society

43. Physician conscientious objection in anesthesiology practice

44. The ethics of expert testimony

45. Ethical principles regarding physician response to disasters: pandemics, natural disasters, and terrorism

46. Triage in civilian mass casualty situations

47. Triage and treatment of wounded during armed conflict

48. Physician facilitation of torture and coercive interrogation

49. Physician participation in executions