Lee K Francis
Department of Surgery, Baystate Medical Center, Tufts University School of Medicine, 759 Chestnut Street, Springfield, MA 01199, USA.
Surg Clin North Am. 2005 Apr;85(2):287-302, vii. doi: 10.1016/j.suc.2004.11.007.
The perceived risk of legal liability looms large as a major barrier to optimal palliative care among surgeons. Aggressive pain management may cause respiratory depression and death, whereas withdrawal of support may lead to a charge of manslaughter. Citing legal principles and precedents, this article explains why there is legal support for terminal analgesia and sedation, balanced chronic pain management, and effective surgeon-patient communication in the setting of good surgical palliative care.
法律责任的可感知风险作为外科医生提供最佳姑息治疗的主要障碍赫然显现。积极的疼痛管理可能会导致呼吸抑制和死亡，而停止支持则可能导致过失杀人指控。本文引用法律原则和先例，解释了为何在良好的外科姑息治疗背景下，终末期镇痛与镇静、平衡的慢性疼痛管理以及有效的医患沟通存在法律支持。
