Commentary - Anesthesiology and Clinical Science Research (2023) Volume 7, Issue 4
Ethical and legal considerations in anaesthesia care
Lisa William*
Department of Anesthesiology, Stanford University, California, United States
- Corresponding Author:
- Lisa William
Department of Anesthesiology,
Stanford University,
California,
United States
E-mail: lisa06@wiiliam.cornell.edu
Received: 08-Jun-2023, Manuscript No. AAACSR-23-101769; Editor assigned: 10-Jun-2023, AAACSR-23-101769 (PQ); Reviewed: 24-Jun-2023, QC No. AAACSR-23-101769; Revised: 07-Aug-2023, Manuscript No. AAACSR-23-101769 (R); Published: 14-Aug-2023, DOI:10.35841/ aaacsr.7.4.153
Citation: William L. Legal and ethical considerations in anaesthesia care. Anaesthesiol Clin Sci Res. 2023;7(4):1-2.
Description
Ethical and legal aspects of anesthesia care encompass a range of considerations related to the practice of anesthesia, patient rights and professional responsibilities. Anesthesia care involves administering anesthesia to patients before surgical procedures or medical interventions to ensure their comfort manage pain and maintain physiological stability. Here are some key ethical and legal aspects that are relevant to anesthesia care [1].
Informed consent: Anesthesia providers have an ethical and legal obligation to obtain informed consent from patients before administering anesthesia. This includes explaining the risks, benefits, and alternatives of anesthesia, as well as addressing any questions or concerns the patient may have [2].
Patient autonomy: Respecting patient autonomy is a fundamental ethical principle. Anesthesia providers must respect the patient's right to make decisions about their care, including the choice to refuse or accept anesthesia, within the boundaries of legal requirements and patient safety.
Competence and credentialing: Anesthesia providers must possess the necessary qualifications, training and credentials to perform their duties. This includes being licensed, maintaining certification and participating in continuing education to stay updated with the latest practices and standards [3].
Confidentiality: Anesthesia providers have a legal and ethical duty to protect patient confidentiality. They must maintain strict confidentiality regarding patient information and only disclose it to authorized individuals involved in the patient's care, unless required by law or when there is a risk to public health and safety.
Patient safety: Anesthesia providers have a paramount responsibility for patient safety. They must adhere to established safety protocols, monitor patients during procedures, manage complications and take appropriate actions to prevent harm to patients [4].
Pain management: Anesthesia providers play a crucial role in managing pain during and after procedures. They must balance the need for adequate pain relief with the risks and potential side effects of pain medications, while also considering patient preferences and individual needs.
Ethical dilemmas: Anesthesia providers may face ethical dilemmas, such as situations involving patient refusal of blood transfusions due to religious beliefs or conflicts between patient autonomy and beneficence in cases where a patient's decision may have adverse outcomes. Ethical decision-making frameworks can help guide anesthesia providers in resolving these dilemmas.
Documentation and medical records: Accurate and comprehensive documentation of anesthesia care is essential for legal and ethical reasons. Medical records should include relevant patient information, the anesthesia plan, intraoperative details, any complications or adverse events and postoperative care instructions [5].
Professional boundaries and conflicts of interest: Anesthesia providers must maintain professional boundaries with patients and colleagues. They should avoid conflicts of interest that could compromise patient care, such as financial incentives for using specific drugs or equipment.
Legal standards and regulations: Anesthesia providers must comply with applicable legal standards, regulations and guidelines established by professional organizations and regulatory bodies. These regulations may include licensure requirements, scope of practice and protocols for anesthesia administration.
It's important for anesthesia providers to stay updated on ethical and legal aspects of anesthesia care to ensure the highest quality of care, protect patient rights and mitigate legal risks. Consulting professional societies, legal experts and ethical guidelines can help practitioners navigate complex situations and make well informed decisions.
References
- Beauchamp TL, Childress JF. Principles of biomedical ethics. 7th ed. Oxford university press; Oxford;2009.
- American society of Anesthesia ethics committee. Guidelines for the ethical practice of anesthesiology. Approved by the ASA house of delegates. 2003;15.
- Leo RJ. Competency and the capacity to make treatment decisions: A primer for primary care physicians. Prim Care Companion J Clin Psychiatry. 1999;1(5):131-41.
[Crossref] [Google Scholar] [PubMed]
- Kontos N, Feudenreich O, Querques J. Beyond capacity: Identifying ethical dilemmas underlying capacity evaluation requests. Psychosomatics. 2013;54(2):103-10.
[Crossref] [Google Scholar] [PubMed]
- Mclivennan CK, Swetz KM. Lack of agreement with what we think is right does not necessarily equal an ethical problem: Respecting patients? goals of care. Amer J Bioeth. 2016;16(8):13-15.
[Crossref] [Google Scholar] [PubMed]