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同意的一个基本问题。

A fundamental problem of consent.

作者信息

Mitchell J

机构信息

Clyde and Co, London.

出版信息

BMJ. 1995 Jan 7;310(6971):43-6; discussion 46-8. doi: 10.1136/bmj.310.6971.43.

DOI:10.1136/bmj.310.6971.43
PMID:7827558
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2548445/
Abstract

A consultant anaesthetist gave a diclofenac suppository for postoperative pain to a patient having four teeth extracted under general anaesthesia in the dental surgery. He did not seek the patient's specific consent preoperatively for use of the suppository but told her afterwards what he had done. Charged before the professional conduct committee of the General Medical Council with failure to obtain informed consent and assault, the anaesthetist was found guilty of serious professional misconduct and admonished. This decision has far reaching implications and has caused great concern.

摘要

一名麻醉顾问医生在牙科手术室为一名在全身麻醉下拔除四颗牙齿的患者使用双氯芬酸栓剂以缓解术后疼痛。他术前未征得患者对使用该栓剂的明确同意,但事后告知了她自己所做的事情。该麻醉医生被指控向英国医学总会专业行为委员会隐瞒未能获得知情同意及侵犯行为,被判严重职业不当行为罪名成立并受到训诫。这一决定影响深远,引发了极大关注。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44c6/2548445/f348458b205c/bmj00574-0049-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44c6/2548445/c4a06c10b1f0/bmj00574-0048-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44c6/2548445/f348458b205c/bmj00574-0049-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44c6/2548445/c4a06c10b1f0/bmj00574-0048-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44c6/2548445/f348458b205c/bmj00574-0049-a.jpg

相似文献

1
A fundamental problem of consent.同意的一个基本问题。
BMJ. 1995 Jan 7;310(6971):43-6; discussion 46-8. doi: 10.1136/bmj.310.6971.43.
2
A fundamental problem of consent. Nothing is inherently remiss in present methods of obtaining consent.同意的一个基本问题。目前获取同意的方法本身没有什么疏忽之处。
BMJ. 1995 Apr 8;310(6984):935. doi: 10.1136/bmj.310.6984.935.
3
The strange case of the misplaced suppository.栓剂误置的离奇病例。
CMAJ. 1995 Oct 1;153(7):980-1.
4
GMC finds doctors not guilty in consent case.英国医学总会判定医生在同意治疗案件中无罪。
BMJ. 1995 Nov 11;311(7015):1245-6. doi: 10.1136/bmj.311.7015.1245.
5
A fundamental problem of consent. Dentist is aggrieved at outcome.同意的一个基本问题。牙医对结果感到不满。
BMJ. 1995 Apr 8;310(6984):935. doi: 10.1136/bmj.310.6984.935a.
6
How the GMC hears a case of alleged misconduct.英国医学总会如何审理一起被指控的不当行为案件。
Bull Med Ethics. 2000 Jul-Aug(160):17-8.
7
Consultant suspended for not getting consent for cardiac procedure.顾问因未获得心脏手术同意书而被停职。
BMJ. 1998 Mar 28;316(7136):955. doi: 10.1136/bmj.316.7136.955.
8
Consent, sectionalisation and the concept of a medical procedure.同意、分段化与医疗程序的概念
J Med Ethics. 2002 Aug;28(4):249-54. doi: 10.1136/jme.28.4.249.
9
A fundamental problem of consent. Fact sheets may be useful.同意的一个基本问题。情况说明书可能会有用。
BMJ. 1995 Apr 8;310(6984):936-7. doi: 10.1136/bmj.310.6984.936d.
10
Serious professional misconduct arising out of dental anaesthesia and sedation.牙科麻醉和镇静引发的严重职业不当行为。
Br Dent J. 1992 Sep 19;173(5):161-5. doi: 10.1038/sj.bdj.4807984.

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Parents/Caregivers' perceptions towards use of analgesic suppositories in paediatric elective surgery.家长/照顾者对小儿择期手术中使用肛门栓剂镇痛的看法。
Afr J Paediatr Surg. 2023 Apr-Jun;20(2):124-129. doi: 10.4103/ajps.ajps_90_21.
2
Efficacy of a separate informed consent for anesthesia services: A prospective study from the Caribbean.麻醉服务单独知情同意书的有效性:来自加勒比地区的一项前瞻性研究。
J Anaesthesiol Clin Pharmacol. 2016 Jan-Mar;32(1):18-24. doi: 10.4103/0970-9185.173364.
3
Informed consent for sacrocolpopexy: is counseling effective in achieving patient comprehension?
骶骨阴道固定术的知情同意:咨询在使患者理解方面是否有效?
Female Pelvic Med Reconstr Surg. 2012 Nov-Dec;18(6):352-6. doi: 10.1097/SPV.0b013e31827816c5.
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Intranasal diamorphine as an alternative to intramuscular morphine: pharmacokinetic and pharmacodynamic aspects.鼻内注射二醋吗啡作为肌肉注射吗啡的替代方法:药代动力学和药效学方面
Clin Pharmacokinet. 2003;42(6):501-13. doi: 10.2165/00003088-200342060-00001.
5
Consent, sectionalisation and the concept of a medical procedure.同意、分段化与医疗程序的概念
J Med Ethics. 2002 Aug;28(4):249-54. doi: 10.1136/jme.28.4.249.
6
[Is it legitimate the use of placebos in primary care?].[在初级保健中使用安慰剂是否合理?]
Aten Primaria. 2000 Dec;26(10):700-2. doi: 10.1016/s0212-6567(00)78756-7.
7
Multicentre randomised controlled trial of nasal diamorphine for analgesia in children and teenagers with clinical fractures.鼻内注射二醋吗啡用于儿童和青少年临床骨折镇痛的多中心随机对照试验。
BMJ. 2001 Feb 3;322(7281):261-5. doi: 10.1136/bmj.322.7281.261.
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Clinical risk management in anaesthesia.麻醉中的临床风险管理
Qual Health Care. 1995 Jun;4(2):115-21. doi: 10.1136/qshc.4.2.115.
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Intranasal diamorphine for paediatric analgesia: assessment of safety and efficacy.用于小儿镇痛的鼻内注射二醋吗啡:安全性和有效性评估。
J Accid Emerg Med. 1997 Mar;14(2):70-2. doi: 10.1136/emj.14.2.70.
10
Patient attitudes to perioperative suppository administration for postoperative analgesia.患者对围手术期使用栓剂进行术后镇痛的态度。
Ir J Med Sci. 1996 Oct-Dec;165(4):286-8. doi: 10.1007/BF02943092.