AMA Journal of Ethics March 2015
This month in Journal of Ethics
Ethical Questions in Anesthesiology
In its nearly 170-year history in the US, anesthesiology has expanded far beyond the operating room into obstetrics, pain management, critical care, and the full range of perioperative care. The specialty’s growth has brought complex ethical questions with it. Contributors to the March issue of the AMA Journal of Ethics examine some of those concerns—the use of opioids and the effects of bias in pain treatment; challenges to interspecialty professionalism, particularly in operating room and critical care settings; and the ability of seriously ill patients to give fully informed consent to (or refusal of) extracorporeal life support.
Ethics and the Practice of Anesthesia Matthew L. Edwards With their expertise in physiology, pharmacology, and resuscitation, anesthesiologists made essential contributions to the development of critical care medicine.
Ethical Tenets of Perioperative Care: “Finding My Surgical Way Home” Jason D. Hall, JD, Lee A. Goeddel, MD, MPH, and Thomas R. Vetter, MD, MPH In the perioperative surgical home, the anesthesiologist coordinates care with other team members to provide seamless continuity from preoperative evaluation to postoperative care.
The Influence of Social Values on Obstetric Anesthesia Donald Caton, MD The first women’s movement in the mid-nineteenth century endorsed anesthesia during childbirth and some of the very patterns of obstetric practice that became anathema to the natural childbirth movement a century later.
Opioids for Nonmalignant Chronic Pain Commentary by Anna Woodbury, MD Given full information about the risks of long-term opioid therapy, patients often see the value of exploring other options rather than thinking their physicians are reluctant to prescribe narcotics for fear of litigation or regulatory action.
April Ethics in the Diagnosis and Treatment of Autism
May Observing Professional Boundaries
June Ethics in Rehabilitation Medicine
July Patient Care in the ACA Era
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