Department of Anesthesiology, Bioethics Committee, Good Samaritan Hospital, 2425 Samaritan Drive, San Jose, CA 95124, USA.
Division of Pediatric Anesthesiology, Department of Anesthesiology, Yale Medical School, Yale School of Medicine, 333 Cedar Street, New Haven, CT 06510, USA.
Anesthesiol Clin. 2024 Sep;42(3):367-376. doi: 10.1016/j.anclin.2023.12.004. Epub 2024 Jan 5.
In 1992, the American Society of Anesthesiologists Committee on Ethics was formed primarily to address the rights of patients with existing Do-Not-Resuscitate orders presenting for anesthesia. Guidelines written for the ethical management of these patients stated that such orders should be reconsidered-not rescinded-thus respecting patient self-determination. The Committee also rewrote the reigning Guidelines for the Ethical Practice of Anesthesiology by expanding its ethical foundations to reflect the evolving climate of ethical opinions. These Guidelines described ethically appropriate conduct and behavior, including anesthesiologists' ethical responsibilities to patients, themselves, colleagues, health-care institutions, and community and society.
1992 年，美国麻醉医师协会伦理委员会成立，主要是为了处理带有“不复苏”医嘱的患者在接受麻醉时的权利问题。为了规范管理这些患者，委员会制定了相关指导方针，规定这些医嘱应该重新考虑，而不是撤销，以尊重患者的自主决定。委员会还通过扩大伦理基础，反映不断变化的伦理观点，重写了现行的《麻醉伦理实践指南》。这些指南描述了合乎伦理的适当行为，包括麻醉师对患者、自身、同事、医疗机构以及社区和社会的伦理责任。
