Bray J K, Yentis S M
Magill Department of Anaesthesia, Intensive Care & Pain Management, Chelsea & Westminster Hospital, 369 Fulham Road, London SW10 9NH, UK.
Anaesthesia. 2002 Oct;57(10):1012-5. doi: 10.1046/j.1365-2044.2002.02749.x.
We investigated the attitudes of 96 patients and 163 anaesthetists to the need for obtaining informed consent before specialist airway techniques. Participants were asked to score six questions using a numerical scale, as to whether they thought consent was necessary before specific procedures, particularly in relation to fibreoptic intubation used for teaching or maintaining skills. Significant differences in opinion were found between patients and anaesthetists despite a wide range of views. Overall, patients felt that specific consent was required for non-routine techniques, whilst anaesthetic respondents felt this was unnecessary, even if teaching. We conclude that guidance in obtaining consent is needed to support anaesthetists wishing to practice or teach fibreoptic intubation.
我们调查了96名患者和163名麻醉医生对于在实施专业气道技术前获取知情同意必要性的态度。参与者被要求使用数字量表对六个问题进行评分,这些问题是关于他们是否认为在特定操作前,特别是在用于教学或维持技能的纤维支气管镜插管方面,同意是必要的。尽管观点范围广泛,但患者和麻醉医生之间仍存在显著的意见差异。总体而言,患者认为非常规技术需要获得特定同意,而麻醉医生则认为即使是用于教学也没有必要。我们得出结论,需要关于获取同意的指导,以支持希望实施或教授纤维支气管镜插管的麻醉医生。