Geiger James D, Hirschl Ronald B
Michigan Pediatric Device Consortium, University of Michigan, CS Mott Children's Hospital, Ann Arbor, 1540 E Hospital Dr SPC 4211, Michigan 48109.
Section of Pediatric Surgery, University of Michigan, CS Mott Children's Hospital, Ann Arbor, Michigan.
Semin Pediatr Surg. 2015 Jun;24(3):115-21. doi: 10.1053/j.sempedsurg.2015.02.008. Epub 2015 Mar 2.
The pace of medical innovation continues to increase. The deployment of new technologies in surgery creates many ethical challenges including how to determine safety of the technology, what is the timing and process for deployment of a new technology, how are patients informed before undergoing a new technology or technique, how are the outcomes of a new technology evaluated and how are the responsibilities of individual patients and society at large balanced. Ethical considerations relevant to the implementation of ECMO and robotic surgery are explored to further discussion of how we can optimize the delicate balance between innovation and regulation.
医学创新的步伐持续加快。新技术在外科手术中的应用带来了诸多伦理挑战，包括如何确定技术的安全性、新技术的部署时机和流程是什么、在患者接受新技术或新手术前如何告知他们、如何评估新技术的效果以及如何平衡个体患者和整个社会的责任。本文探讨了与体外膜肺氧合（ECMO）和机器人手术实施相关的伦理考量，以进一步讨论如何优化创新与监管之间的微妙平衡。
