Department of Surgical Sciences, University of Turin, Corso Dogliotti 14, Turin, Italy.
Department of Anesthesia and Intensive Care, San Giovanni Bosco Hospital, Torino, Italy.
Anesthesiol Clin. 2024 Sep;42(3):357-366. doi: 10.1016/j.anclin.2023.12.006. Epub 2024 Jan 17.
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.
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。