Can a Surgeon Refuse to Operate When an Advance Directive Limits Postoperative Care?

Mavroudis, Constantine; Gaca, Jeffrey G.; Sade, Robert M.

doi:10.1016/j.athoracsur.2016.04.062

Cited by 6 publications

(2 citation statements)

References 12 publications

(17 reference statements)

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“…Despite information that a high-risk operation carries the possibility of kidney failure and prolonged mechanical ventilation, the wife insists that she will allow no more than a week of postoperative care after which she will withdraw all treatment, including dialysis. The question is whether the surgeon should do the operation, given this significant constraint [7].…”

Section: An 80-year-old Man With a Type A Aortic Dissection And Multimentioning

confidence: 99%

Surgical Ethics: Today and Tomorrow

Sade

Kavarana²

2017

Future Cardiol.

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Ethical behavior has always been deeply ingrained in surgical culture, but ethical deliberation has only recently become an important component of cardiac surgical practice. In our earlier review, we covered a range of issues including several related to informed consent, conflict of interest, professional self-regulation and innovation, among many others. This update covers several topics of interest to cardiac surgeons and cardiologists, focusing on controversial issues specific to the practice of cardiothoracic surgery: informed consent, relations with hospitals and euthanasia and physician-assisted suicide. The future holds much uncertainty for cardiac surgical practice, research and culture, and we provide an update on ethical issues to serve as a platform for envisioning what is to come.

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Section: An 80-year-old Man With a Type A Aortic Dissection And Multimentioning

confidence: 99%

Surgical Ethics: Today and Tomorrow

Sade

Kavarana²

2017

Future Cardiol.

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show abstract

“…This vignette by Mavroudis and colleagues [1] provides an important opportunity to emphasize the distinctions between illness, disease, and injury [2,3]. Such distinctions greatly facilitate comprehension of the interplay between life-threatening disease and aggressive intervention.…”

Section: Invited Commentarymentioning

confidence: 99%