Nwomeh Benedict C, Waller Andrea L, Caniano Donna A, Kelleher Kelly J
Department of Pediatric Surgery, Columbus Children's Hospital, Columbus, OH 43205, USA.
J Pediatr Surg. 2005 Aug;40(8):1320-5. doi: 10.1016/j.jpedsurg.2005.05.019.
The informed consent process for emergency surgery in children poses a challenge for pediatric surgeons because the child and his/her surrogates (usually parents) must make medical decisions in a relatively short period. The unique circumstances of a surgical emergency create potential barriers to achieving the central goals of the informed consent process, respect for patient autonomy and beneficence. The purpose of this review is to provide a practical guide for pediatric surgeons on the informed consent process as it applies to emergency surgery in pediatric patients. We will also discuss innovative methods of preoperative education that can be adopted in the emergency setting and highlight areas in which further research might help to improve this important aspect of surgical care.
儿童急诊手术的知情同意过程给小儿外科医生带来了挑战，因为儿童及其代理人（通常是父母）必须在相对较短的时间内做出医疗决策。手术急症的特殊情况为实现知情同意过程的核心目标（尊重患者自主权和行善原则）造成了潜在障碍。本综述的目的是为小儿外科医生提供一份关于适用于小儿患者急诊手术的知情同意过程的实用指南。我们还将讨论可在急诊情况下采用的术前教育创新方法，并强调进一步研究可能有助于改善手术护理这一重要方面的领域。
