How Should Refusal of Tracheostomy as Part of an Adolescent's Perioperative Planned Intubation Be Regarded?
AMA Journal of Ethics, August 2018
Here we present a case of a patient in terminal respiratory failure refusing to consent to emergent tracheostomy in the setting of an anticipated difficult intubation. We examine ethical concerns that arise from deviations from the standard of care in the operative setting and the anesthesiologist's sense of culpability. Finally, we will review the ethical arguments and guidelines that support anesthesiologists' participation in palliative operative procedures when limitations on resuscitation are in place.
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