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外科医生与手术室中的伦理挑战。

Surgeons and ethical challenges in operating room.

机构信息

The Aga Khan University Hospital, Karachi Pakistan.

Aga Khan University, Karachi, Pakistan.

出版信息

J Pak Med Assoc. 2022 Feb;72(Suppl 1)(2):S64-S70. doi: 10.47391/JPMA.AKU-13.

Abstract

Ethics lie in the heart of professionalism. In surgery, it represents an essential element, with surgeons facing ethical challenges in their routine practice. The rapid expansion of surgical technology and innovation along with the use of resources and consideration of conflict of interest have brought up the need for the development of current surgical code of ethics. Operating room represents a stressful environment where patients' lives depend upon careful preparation, planning and execution. The progression of surgery within the operating room must be done in harmony and in line with the ethical principles of autonomy, beneficence, non-maleficence and justice. Discussion of ethical problems arising in the operating room is not a common subject in surgical literature. The current narrative review was planned to cover ethical concerns related to patients' safety and privacy in the operating room and some of the evolving topics, like ethics of overlapping surgery, live surgical broadcast and 'do not resuscitate' policy in the operating room.

摘要

伦理存在于专业精神的核心。在外科领域,它是一个至关重要的元素,外科医生在日常实践中面临着伦理挑战。外科技术的快速发展和创新,以及资源的利用和利益冲突的考虑,都需要制定当前的外科伦理准则。手术室是一个充满压力的环境,患者的生命依赖于精心的准备、计划和执行。手术室中手术的进展必须和谐一致,并符合自主、善行、不伤害和公正的伦理原则。在手术室中出现的伦理问题的讨论在外科文献中并不常见。本综述旨在涵盖与手术室中患者安全和隐私相关的伦理问题,以及一些正在发展的话题,如重叠手术的伦理、现场手术直播和手术室中的“不复苏”政策。

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