• Publications
  • Influence
Determinants of moral distress in medical and surgical nurses at an adult acute tertiary care hospital.
TLDR
Moral distress is common among nurses in acute medical and surgical units and can be elicited from different types of situations encountered in the work environment, and strategies aimed to minimize exposure to situations of moral distress and augment mechanisms mitigating its effect on nurses are necessary to enhance job satisfaction and retention.
Ethical challenges with the left ventricular assist device as a destination therapy
TLDR
Early utilization of a palliative care approach is advocated and prerequisite conditions so that consenting for the use of a left ventricular assist device as a destination therapy is a well informed process and in the absence of first-person (patient) consent, presumed consent or surrogate consent should be used cautiously.
Use of the Exercise Treadmill to Measure Baseline Functional Status and Surgical Outcome in Patients With Severe Lumbar Spinal Stenosis
TLDR
Exercise stress testing on a treadmill is a safe, easily administered, and quantifiable means of assessing baseline functional status and surgical outcome in patients with neurogenic claudication due to lumbar spinal stenosis.
Recovery of transplantable organs after cardiac or circulatory death: Transforming the paradigm for the ethics of organ donation
TLDR
It is argued that the recovery of viable organs useful for transplantation in DCD is not compatible with the dead donor rule and the consequential ethical and legal ramifications are explained.
Organ Procurement After Cardiocirculatory Death: A Critical Analysis
TLDR
There is little evidence to support the position that the criteria for organ procurement adopted from the UPMC protocol complies with the dead donor rule, and transparent disclosure of the risks involved to both organ donors and recipients may contribute to open societal debate on the ethical acceptability of DCD.
Surgeon fatigue and postural stability: is robotic better than laparoscopic surgery?
TLDR
Similar changes in postural stability and muscular strength were observed following laparoscopic and robotic surgery, suggesting the optimal measurement tool to capture surgical fatigue remains elusive.
Ethical Challenges With Deactivation of Durable Mechanical Circulatory Support at the End of Life
TLDR
It is posited that the presence of new lethal pathophysiology (ie, a self-perpetuating cascade of abnormal physiological processes causing death) is a central element in evaluating the permissibility of deactivating an LVAD or a TAH.
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