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Informed Consent and Digit Replantation: Current State and Recommendations for Ethical Patient Care.
Gudbranson, Emily; Prsic, Adnan; Pistorio, Ashley; Colen, David L.
Afiliação
  • Gudbranson E; Division of Plastic and Reconstructive Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA.
  • Prsic A; Division of Plastic and Reconstructive Surgery, Yale School of Medicine, New Haven, CT.
  • Pistorio A; Division of Plastic and Reconstructive Surgery, University of Nevada Las Vegas School of Medicine, Las Vegas, NV; American Society for Surgery of the Hand, Ethics and Professionalism Committee, Chicago, IL.
  • Colen DL; Division of Plastic and Reconstructive Surgery, Yale School of Medicine, New Haven, CT; American Society for Surgery of the Hand, Ethics and Professionalism Committee, Chicago, IL. Electronic address: David.Colen@yale.edu.
J Hand Surg Am ; 49(8): 789-793, 2024 Aug.
Article em En | MEDLINE | ID: mdl-38639682
ABSTRACT
The importance of informed consent and the value of shared decision-making in hand surgery are well-established and particularly critical in the setting of digit amputation when considering replantation. Informed consent requires an understanding of not only the immediate and long-term risks and benefits of surgery, as well as the risks and alternatives involved, but also the capacity of the patient to make a medical decision. However, patients who have acutely sustained a disfiguring trauma are often in distress and may not fully process the consent discussion. Digit replantation is an "elective emergency"-the decision must be made immediately but is not lifesaving-which poses a difficult dilemma are surgeons acting in patients' best interests by pursuing replantation if we engage those patients in informed consent discussions when they may not have capacity? This article explores the relevant bioethical principles associated with digit replantation, summarizes updated literature regarding informed consent and shared decision-making, and provides recommendations for patient education materials to standardize informed consent discussions for surgeons approaching patients at this unique intersection of considering revision amputation versus replantation.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Reimplante / Traumatismos dos Dedos / Tomada de Decisão Compartilhada / Amputação Traumática / Consentimento Livre e Esclarecido Limite: Humans Idioma: En Revista: J Hand Surg Am Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Panamá País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Reimplante / Traumatismos dos Dedos / Tomada de Decisão Compartilhada / Amputação Traumática / Consentimento Livre e Esclarecido Limite: Humans Idioma: En Revista: J Hand Surg Am Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Panamá País de publicação: Estados Unidos