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管理麻醉实践中复杂伦理问题的迷宫:麻醉师的阿里阿德涅线。

Managing the Labyrinth of Complex Ethical Issues in Anesthesia Practice: The Anesthesiologist's Ariadne's Thread.

机构信息

Department of Surgical Sciences, University of Turin, Corso Dogliotti 14, Turin, Italy.

Department of Anesthesia and Intensive Care, San Giovanni Bosco Hospital, Torino, Italy.

出版信息

Anesthesiol Clin. 2024 Sep;42(3):357-366. doi: 10.1016/j.anclin.2023.12.006. Epub 2024 Jan 17.

Abstract

Facing ethical dilemmas is challenging and sometimes becomes a real burden for anesthesiologists, particularly because they rarely have previous or long-standing patient relationships that help inform clinical decision-making. Although there is no ideal algorithm that can fit all clinical situations, some basic moral and ethical principles, which should be part of every clinician's armamentarium, can guide the decision-making process. Dealing with conflicting views among providers and/or patients can be distressing but can lead to meaningful professional and personal growth for each clinician.

摘要

面对伦理困境具有挑战性,有时甚至成为麻醉师的沉重负担,尤其是因为他们很少与患者建立先前的或长期的关系,这有助于为临床决策提供信息。尽管没有适用于所有临床情况的理想算法,但一些基本的道德和伦理原则应该成为每位临床医生的必备武器,可以指导决策过程。处理提供者和/或患者之间的观点冲突可能令人痛苦,但可以为每位临床医生带来有意义的专业和个人成长。

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