Hastings Center Report 46 (3):9-10 (2016)
AbstractA thirty-year-old single mother with recurrent, metastatic, treatment-refractory cancer presents to the emergency room with severe difficulty breathing due to an obstructive tumor in her neck, compounded by progressive disease in her lungs and a new pulmonary embolism. She cannot be safely intubated and would require an emergent awake tracheotomy. Even if the airway can be successfully secured surgically, the likelihood that she will be able to be weaned from mechanical ventilation is very low. The surgeon, a young mother too, appreciates the patient's desire for more time with her toddler. But the surgeon knows the significant risk of surgery, the massive responsibility she would accept in trying to get the patient through it, and the emotional toll of an intraoperative death on surgical staff. And she can imagine the second-guessing that will come during the inevitable morbidity and mortality conference if the patient should die in the perioperative window. Yet the surgeon does not want to take the “easy” way out; after all, critically ill patients undergo aggressive resuscitation all the time. What should she do?
Similar books and articles
Autonomy, Futility, and the Limits of Medicine.Robert L. Schwartz - 1992 - Cambridge Quarterly of Healthcare Ethics 1 (2):159.
Difference in Ethical Views Among First-Year to Sixth-Year Students in a Medical School.Noritoshi Tanida, Masumi Ueda & Susumu Hoshino - 2006 - Eubios Journal of Asian and International Bioethics 16 (3):91-93.
Voices From the Silent World of Doctor and Patient.Joann Starr & Bruce E. Zawacki - 1999 - Cambridge Quarterly of Healthcare Ethics 8 (2):129-138.
Impairing Loyalty: Corporate Responsibility for Clinical Misadventure.Kenneth Kipnis - 2011 - American Journal of Bioethics 11 (9):3-9.
Working While Under the Influence of Performance-Enhancing Drugs: Is One “More Responsible”?Frederic Gilbert - 2011 - American Journal of Bioethics Neuroscience 2 (3):57-59.
Justice and Surgical Innovation: The Case of Robotic Prostatectomy.Katrina Hutchison, Jane Johnson & Drew Carter - 2016 - Bioethics 30 (7):536-546.
Surgeon Report Cards, Clinical Realities, and the Quality of Patient Care.Justin Oakley - 2009 - Monash Bioethics Review 28 (3):21-1.
Saint Martin of Tours in a New World of Medical Ethics.Richard D. Lamm - 1994 - Cambridge Quarterly of Healthcare Ethics 3 (2):159.
Surgical Care of the HIV-Infected Patient: A Moral Imperative.William P. Schecter - 1992 - Cambridge Quarterly of Healthcare Ethics 1 (3):223.
Morality, Prudential Rationality, and Cheating.Alister Browne & Katharine Browne - 2007 - Cambridge Quarterly of Healthcare Ethics 16 (1):53-62.
Surgeon Report Cards and the Concept of Defensive Medicine.Yujin Nagasawa - 2007 - In Yujin Nagasawa & Steve Clarke Justin Oakley (eds.), Informed Consent and Clinical Accountability: The Ethics of Auditing and Reporting Surgeon Performance. Cambridge University Press.
Timing of Carotid Endarterectomy: Perioperative Outcome According to Index Event to Operation Room Time.Mehmet Kalender - 2014 - SS 5:411-417.
Added to PP
Historical graph of downloads