Consent, benefit, and risk in anaesthetic practice

Paperback | March 19, 2009

EditorJonathan G. Hardman, Iain K. Moppett, Alan R. Aitkenhead

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Patient expectations regarding involvement in their own healthcare have increased dramatically over the past few years. It is no longer acceptable for the doctor to dictate treatment; patients demand information regarding treatment options, and input into the selection of the most appropriatetreatment plan. This is evidenced by court decisions that have upheld patient litigation on the basis that inadequate information was given to them before treatment, and that they were unaware of risks of complications which subsequently materialised. Whilst these complaints are more typical againstsurgeons, similar claims are likely in relation to anaesthetic procedures. Anaesthesia is no longer considered a non-negotiable aspect of surgical care, and anaesthetists need to be aware of current issues surrounding provision of information concerning risks and benefits of anaesthesia, andobtaining consent.This book provides useful, up-to-date information for anaesthetists and medico-legal practitioners regarding consent, risk and benefit in anaesthesia. It begins with the general principles of consent, and how risks and benefits might be conveyed. This is followed by an exploration of the clinicalcontexts in which consent is needed, covering obstetrics, emergency surgery, and critical care. Special considerations such as children, high risk patients and the incapacitated/incompetent adult are also identified. Section 3 covers specific risks and benefits associated with anaesthesia. These arereferenced by physiological system and anaesthetic technique, and illustrated with case scenarios, to provide the reader with accessible information that is relevant to daily practice. The book concludes with valuable contributions from those outside anaesthesia: the legal perspective, and that ofthe patient. Edited by experts in medico-legal studies and anaesthesia, this first book in this complex field will prove invaluable for those dealing with the increasing demands of consent, benefit and risk in anaesthesia.

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Patient expectations regarding involvement in their own healthcare have increased dramatically over the past few years. It is no longer acceptable for the doctor to dictate treatment; patients demand information regarding treatment options, and input into the selection of the most appropriatetreatment plan. This is evidenced by court d...

Jonathan Hardman is a clinical academic in anaesthesia at the University of Nottingham. He trained in Nottingham and took up his first clinical academic post there in 1996. His interests include pathophysiological modelling and perioperative risk and outcome. He is a member of the editorial boards of two journals, the Honorary Secreta...

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Format:PaperbackDimensions:352 pages, 9.21 × 6.14 × 0.04 inPublished:March 19, 2009Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0199296871

ISBN - 13:9780199296873

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Table of Contents

Section 1: Consent1. A.R. Aitkenhead: Generic aspects of consent2. I.K. Moppett: Conveying risks and benefitsSection 2: Clinical Contexts for Consent3. W. Scott: Obstetrics4. B. Riley: Emergency surgery5. A. March and R.J. Winter: Critical care6. S. Howell: High risk patients7. O. Dearlove: Children8. S.M. White: Incapacity - learning impaired, dementia, mental and emotional disturbance9. E.A. Flockton and J.M. Hunter: Research, audit and traineesSection 3: Risks and Benefits10. A.R. Aitkenhead: Mortality associated with anaesthesia11. A.R. Aitkenhead: Awareness during anaesthesia12. I.K. Moppett: Respiratory risk13. H.J. Skinner: Cardiovascular risk14. H.J. Skinner and I.K. Moppett: Haematological risk15. J.G. Hardman: Nervous system and regional anaesthesia16. M.H. Nathanson: Psychiatric risk17. F. Plaat and S. Wallace: Endocrine and renal risk18. R.A. McCahon and J.G. Hardman: Injury during anaesthesia19. P.M. Hopkins: Temperature20. I.K. Moppett: Equipment21. R. Glavin: Drug reactions and drug errorsSection 4: Personal Perspectives22. M.A.M.S. Leigh: The legal framework for consent23. O. Newell: The patient's perspective