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心脏外科手术中的伦理问题。

Ethical issues in cardiac surgery.

作者信息

Kavarana Minoo N, Sade Robert M

机构信息

Division of Pediatric Cardiothoracic Surgery, 96 Jonathan Lucas Street, CSB 424, MSC 613, Charleston, SC 29425-6130, USA.

出版信息

Future Cardiol. 2012 May;8(3):451-65. doi: 10.2217/fca.11.91.

DOI:10.2217/fca.11.91
PMID:22642634
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3374583/
Abstract

While ethical behavior has always been part of cardiac surgical practice, ethical deliberation has only recently become an important component of cardiac surgical practice. Issues such as informed consent, conflict of interest and professional self-regulation, among many others, have increasingly attracted the attention of cardiac surgeons. This article covers several broad topics of interest to cardiac surgeons and cardiologists and discusses several other topics more briefly. There is much uncertainty regarding what the future holds for cardiac surgical practice, research and culture and we also discuss the background of ethical issues to serve as a platform for envisioning what is to come.

摘要

虽然道德行为一直是心脏外科手术实践的一部分,但道德审议直到最近才成为心脏外科手术实践的一个重要组成部分。诸如知情同意、利益冲突和职业自我监管等问题,以及许多其他问题,越来越引起心脏外科医生的关注。本文涵盖了心脏外科医生和心脏病专家感兴趣的几个广泛主题,并更简要地讨论了其他几个主题。关于心脏外科手术实践、研究和文化的未来走向存在很多不确定性,我们还讨论了伦理问题的背景,以此作为展望未来的平台。

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引用本文的文献

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Surgical ethics: today and tomorrow.手术伦理学:现在与未来。
Future Cardiol. 2017 Nov;13(6):567-578. doi: 10.2217/fca-2017-0057. Epub 2017 Oct 20.

本文引用的文献

1
The medical profession and self-regulation: a current challenge.医学专业与自我监管:当前的一项挑战。
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Brain death, cardiac death, and the dead donor rule.脑死亡、心源性死亡与死亡供体规则。
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National health spending projections through 2020: economic recovery and reform drive faster spending growth.2020 年之前的国家卫生支出预测:经济复苏和改革推动支出更快增长。
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Does this patient have medical decision-making capacity?这个患者是否具有医疗决策能力?
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Equipoise should be amended, not abandoned.应当修改均衡原则,而非摒弃之。
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The decision making control instrument to assess voluntary consent.决策控制工具评估自愿同意。
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Equipoise and the dilemma of randomized clinical trials.equipoise与随机临床试验的困境
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Sleep deprivation and elective surgery.
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Sleep deprivation, elective surgical procedures, and informed consent.睡眠剥夺、择期外科手术与知情同意
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Trauma surgery performed by "sleep deprived" residents: are outcomes affected?"睡眠剥夺"状态下的住院医师施行创伤外科手术:手术效果是否受影响?
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