Informed consent for special procedures: electroconvulsive therapy and psychosurgery

@article{Bloucif2013InformedCF,
  title={Informed consent for special procedures: electroconvulsive therapy and psychosurgery},
  author={Sadek B{\'e}loucif},
  journal={Current Opinion in Anaesthesiology},
  year={2013},
  volume={26},
  pages={182–185}
}
  • S. Béloucif
  • Published 1 April 2013
  • Medicine
  • Current Opinion in Anaesthesiology
Purpose of review Informed consent has become the cornerstone of the expression of patient's autonomy for ethical and sound patient–physician relationships. However, some severe psychiatric diseases markedly hinder the ability of selected patients to ensure a proper consent. Confronted with mentally disabled individuals whose condition may lead to violence or inflicting it on others, society must carry out its duty of protecting those who are particularly vulnerable, while respecting and… 
Neurosurgical Intervention for Treatment-Resistant Psychiatric Disorders
TLDR
Although neurosurgical intervention is best considered for patients with severe, disabling, and chronic psychiatric illness, this important therapeutic option should no longer be relegated to a position of last resort.
Informed Consent for Neurosurgical Innovation
TLDR
This chapter summarizes the importance and difficulties of informed consent within neurosurgery, including patient capacity, content and format of discussion, and coercion—all key factors in the attainment of proper consent and the clinical decision process.
Informed consent in the psychiatric application of deep brain stimulation technology
  • A. Koivuniemi
  • Medicine
    2014 IEEE International Symposium on Ethics in Science, Technology and Engineering
  • 2014
TLDR
This paper seeks to demonstrate some of the issues that might arise when the term “mind” is not adequately defined prior to deep brain stimulation and proposes a framework definition of “ mind” to help facilitate addressing this topic during informed consent.
Anesthetic considerations for pediatric electroconvulsive therapy
TLDR
Electroconvulsive therapy is being used more frequently in the treatment of many chronic and acute psychiatric illnesses in children, including refractory depression, bipolar disorder, schizophrenia, catatonia, and autism.
Informed Consent for Deep Brain Stimulation: Increasing Transparency for Psychiatric Neurosurgery Patients
  • A. Koivuniemi
  • Medicine, Psychology
    IEEE Technology and Society Magazine
  • 2015
TLDR
DBS is a therapy to relieve the symptoms of movement disorders, specifically dystonia, essential tremor, and the effects of Parkinson disease, and is currently being studied for a wide variety of psychiatric illnesses.
Ethical issues in psychosurgery
TLDR
The purpose of this study is to present ethical dilemmas related to psychosurgery.
Comparison of the Hemodynamic Effects of Two Anesthetics; Sodium Thiopental and Propofol in Patients Undergoing Electroconvulsive Therapy
TLDR
The findings showed that in the anesthetic required for electroshock, sodium thiopental had a slightly better hemodynamic stability than propofol, and it seems appropriate to use it as an anesthetic for ECT.
Comparison of the Hemodynamic Effects of Two Anesthetics; Sodium Thiopental and Propofol in Patients Undergoing Electroconvulsive Therapy
TLDR
The findings showed that in the anesthetic required for electroshock, sodium thiopental had a slightly better hemodynamic stability than propofol, and it seems appropriate to use it as an anesthetic for ECT.
Apparent isotropic electrical property for electrical brain stimulation (EBS) using magnetic resonance diffusion weighted imaging (MR-DWI)
Electrical brain stimulation (EBS) is an invasive electrotherapy and technique used in brain neurological disorders through direct or indirect stimulation using a small electric current. EBS has
...
...

References

SHOWING 1-10 OF 20 REFERENCES
Electroconvulsive therapy, the placebo effect and informed consent
  • C. Blease
  • Psychology, Medicine
    Journal of Medical Ethics
  • 2012
TLDR
It is contended that the process of informed consent must include comprehensive accounts of these uncertainties over the mechanism of action of ECT and given the risk of serious side effects that ECT may produce, it is concluded that a fuller description of E CT must be provided to patients and their carers.
The Electroconvulsive Therapy Controversy: Evidence and Ethics
TLDR
Ethical issues involving this treatment's use, its availability to the public, and informed consent procedures are discussed, and evidence suggests that most of these deficits are transitory.
Informed consent: ethical implications in clinical practice
TLDR
Anesthesiologists have ethical obligations to involve children in the medical decision-making process as much as the child's capacity allows, and to place patient advocacy in the informed consent process above production pressures.
Making a difference: incorporating theories of autonomy into models of informed consent
  • C. Delany
  • Medicine
    Journal of Medical Ethics
  • 2008
TLDR
It is concluded that models of practice that explicitly incorporate the underlying ethical meaning of autonomy as their basis, provide less prescriptive, but more theoretically rich guidance for healthcare communicative practices.
Four models of the physician-patient relationship.
TLDR
Four models of the doctor-patient interaction are outlined, emphasizing the different understandings of the goals of the physicianpatient interaction, the physician's obligations, the role of patient values, and the conception of patient autonomy, which constitute Weberian ideal types.
Consent in psychiatry — an ethical review
The aim of this article is to give a historical overview of the concept of consent to treatment and its development - one of the most important ethical and legal issues in recent years. Through the
Forcible medication for courtroom competence--the case of Charles Sell.
  • G. Annas
  • Law
    The New England journal of medicine
  • 2004
TLDR
The author discusses the legal and ethical issues raised by the 2003 Supreme Court decision in the case of former dentist Charles Sell, which ruled that when certain criteria were met, a judge could order involuntary medication to restore competence.
Clinical practice. Assessment of patients' competence to consent to treatment.
TLDR
A 75-year-old woman has type 2 diabetes mellitus, peripheral vascular disease, and a gangrenous ulcer of her left foot, and she declines a below-the-knee amputation, saying that she has lived long enough and wants to die with her body intact.
Communicating evidence for participatory decision making.
TLDR
There is a paucity of evidence to guide how physicians can most effectively share clinical evidence with patients facing decisions, so means of accomplishing 5 communication tasks to address in framing and communicating clinical evidence are described.
Shared decision making--pinnacle of patient-centered care.
The most important attribute of patient-centered care is the active engagement of patients when fateful health care decisions must be made — when they arrive at a crossroads of medical options, where
...
...