diversion, music, reorientation, enhanced comfort, and reduction of light and noise stimulation. At the same time, clinicians should treat potential medical sources of agitation such as hypoxemia, hypercarbia, electrolyte disorders,…
html xmlns=”http://www.w3.org/1999/xhtml”> 9 Consent for anesthesia for procedures with special societal implications: psychosurgery and electroconvulsive therapy Sadek Beloucif The Case A 20-year-old patient suffers from severe psychiatric disorders (agitation, hetero-aggressivity,…
html xmlns=”http://www.w3.org/1999/xhtml”> 8 Maternal–fetal conflicts: Cesarean delivery on maternal request Ruth Landau and Steve Yentis The Case Jane and Jim, successful lawyers in their mid-forties, are expecting their first child….
AD: Advance Directive When is a surrogate decision-maker needed? Patients who are at risk of losing decision-making capacity include hospitalized patients, patients with some types of psychiatric illness (such as…
html xmlns=”http://www.w3.org/1999/xhtml”> 6 Do not resuscitate decisions in pediatric patients Kelly N. Michelson and Joel E. Frader The Case A 4-year-old boy with metastatic neuroblastoma undergoes stem cell transplantation following…
html xmlns=”http://www.w3.org/1999/xhtml”> 7 Consent in laboring patients Joanna M. Davies Case 1 Sarah is a 32-year-old, gravida 1, para 0 in active labor at 4 cm cervical dilatation. She is…
is used instead of informed “consent” because “consent” implies that the patient is providing the legal consent. The implication of “informed permission” is that, although clinicians nearly always honor parental…
html xmlns=”http://www.w3.org/1999/xhtml”> 2 Informed refusal – DNR orders in the patient undergoing anesthesia and surgery and at the end-of-life David M. Rothenberg The Case A 67-year-old male with oxygen-dependent COPD…
Fig. 2.1 A key concept in elderly physiology is the loss of reserve function. Patients are all very different, but even those who are athletic and maintained in good physical…
Fig. 12.1 Supine position. The neck is placed in neutral position. The arms are abducted <90°, supinated, and padded underneath. All other pressure points are padded with a cushioned mattress…
