When Time Is Critical, Is Informed Consent Less So? A Discussion of Patient Autonomy in Emergency Neurosurgery.

@article{Muskens2019WhenTI,
  title={When Time Is Critical, Is Informed Consent Less So? A Discussion of Patient Autonomy in Emergency Neurosurgery.},
  author={Ivo S. Muskens and Saksham Gupta and Faith C. Robertson and Wouter A. Moojen and Angelos G. Kolias and Wilco C. Peul and Marike Lianne Daphne Broekman},
  journal={World neurosurgery},
  year={2019}
}

Tables from this paper

Patients and Teams Caring for Them: Parallels Between Critical Care and Emergency Medicine
TLDR
Ethical challenges ensuing in the emergency department (ED) and the intensive care unit (ICU) are similar and pertain to autonomy, beneficence/nonmaleficence, dignity, and justice.
Decision-making psychological state and characteristic of proxies of thrombolytic patients: a pilot study
TLDR
Medical staff should explore methods to release the anxiety and increase the trust in physicians to reduce the decision-making conflict and time-consuming, which could promote the smooth progress of the informed consent.

References

SHOWING 1-10 OF 35 REFERENCES
Emergency innovation: implications for the trauma surgeon.
TLDR
The intersection between two areas of independent bioethics, surgical innovation and emergency research is explored, finding that medical progress can continue at minimized risk to the human subject participants.
Use of Advance Directives for High-Risk Operations: A National Survey of Surgeons
TLDR
Many surgeons do not routinely discuss advanced directives preoperatively and more than one half reported they would decline to operate on patients whose directives limit postoperative care, which may limit the expression of patient preferences during decision making for high-risk operations.
Surgical management of acute subdural haematomas: current practice patterns in the United Kingdom and the Republic of Ireland
TLDR
There is significant uncertainty as to the optimal surgical technique for primary evacuation of ASDH, and the majority of the respondents are willing to become collaborators in the planned RESCUE-ASDH trial, highlighting the relevance of this important subject to the neurosurgical community in the UK and Ireland.
Surgical innovation: the ethical agenda
TLDR
It is suggested that the concept of the learning health care system might provide guidance for thinking about surgical innovation and may particularly enrich the necessary future discussion on surgical innovation: integration of research and practice and a moral emphasis on “learning activities".
Timing of Decompressive Hemicraniectomy for Stroke: A Nationwide Inpatient Sample Analysis
TLDR
In this nationwide analysis, early decompressive craniectomy was associated with superior outcomes, however, performing decompression before herniation may be the most important temporal consideration.
Trial of Decompressive Craniectomy for Traumatic Intracranial Hypertension.
BACKGROUND The effect of decompressive craniectomy on clinical outcomes in patients with refractory traumatic intracranial hypertension remains unclear. METHODS From 2004 through 2014, we randomly
Retrospective Consent to Hemicraniectomy after Malignant Stroke among the Elderly, Despite Impaired Functional Outcome
TLDR
Despite impaired functional outcome after DHC, indicators of QoL and retrospective consent are higher for patients older than 60 years over the long term, and should be taken into account by those who counsel patients and caregivers with regard to this serious procedure.
The excess morbidity and mortality of emergency general surgery
TLDR
The excess morbidity and mortality of EGS are not fully explained by preoperative risk factors, making EGS an excellent target for quality improvement projects.
...
...