...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Current opinion in anaesthesiology >Why are we doing this case? Can perioperative futile care be defined?
【24h】

Why are we doing this case? Can perioperative futile care be defined?

机译：我们为什么要这样做？是否可以定义围手术期无效的护理？

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Purpose of Review: The present review addresses the question of whether perioperative futility can be defined. Recent Findings: Although attempts have been made to define futility in medicine, all proposed definitions are inadequate and as a result there has been a shift to a procedural conflict de-escalation approach to addressing clinical questions of futility. Informed consent is central to the problem of deciding whether an operative procedure may be futile and the criteria for adequate consent by either a patient or surrogate decision-maker are reviewed. An adequately informed patient or surrogate may, nevertheless, desire to proceed with a procedure considered futile by some members of the medical team as a result of conflicting values. The basis for this and the 'economy of hope' in which extremely ill patients with few treatment options are invested, is explored. The particular role of the anesthesiologist in deciding whether an operative procedure may be futile is examined. Three potential positions are suggested: the anesthesiologist as service provider, consultant, or gatekeeper. Summary: The present review will provide anesthesiologists with critical insight into the historical scholarship and current recommended process to address questions of perioperative futility. ? 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins.
机译：综述的目的：本综述旨在探讨围手术期无效性是否可以定义的问题。最新发现：尽管已尝试定义医学上的无用性，但所有提议的定义均不充分，因此，人们已转向解决无用性临床问题的程序冲突降级方法。知情同意是决定手术程序是否无效以及患者或代孕决策者是否充分同意的标准的关键。然而，由于价值观相互矛盾，有充分知情的患者或代理人可能希望继续进行医疗团队某些成员认为徒劳的程序。探索了这一基础和“希望经济”，其中投资了很少治疗选择的重病患者。检查了麻醉师在决定手术过程是否无效方面的特殊作用。建议了三个潜在职位：麻醉师担任服务提供者，顾问或看门人。摘要：本综述将为麻醉师提供有关历史学术和当前推荐的解决围手术期无效性问题的推荐方法的重要见解。 ？ 2013威科集团健康|利平科特·威廉姆斯和威尔金斯。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号