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The ethics consultation and the pediatric surgeon
Authors:Mindy B. Statter
Affiliation:1. Division of Pediatric Surgery, Nationwide Children''s Hospital, The Ohio State College of Medicine, The Ohio State University, 700 Children''s Dr, Columbus, Ohio 43205;2. Surgery Unit, Department of Paediatric Surgery, UCL Institute of Child Health, London, UK;3. Great Ormond Street Hospital for Children NHS Trust, University College London, London, UK;4. Division of General and Thoracic Surgery, The Hospital for Sick Children, Toronto, Ontario, Canada;1. Division of Pediatric Surgery, St Louis Children''s Hospital, St Louis, One''s Children''s Place; Suite 5540, Missouri 63110;2. Department of Surgery, Washington University School of Medicine, St Louis, Missouri 63110;1. Department of Neurology, Harvard Medical School, Boston, Massachusetts;2. Department of Anesthesiology, Perioperative and Pain Medicine, Division of Critical Care Medicine, 300 Longwood Ave, Bader 627, Boston, Massachusetts 02115;1. The Center for Fetal Diagnosis and Treatment, Children''s Hospital of Philadelphia, Philadelphia, Pennsylvania;2. Department of Obstetrics and Gynecology, University of Texas Medical School at Houston, Houston, Texas
Abstract:
The cultural, ethnic, religious, socioeconomic, and educational diversity of the patient population and the expanded surgical options provided by innovation and technology can pose significant ethical challenges. The questions confronting pediatric surgeons and their patients? families have greater complexity, and both the pediatric surgeon and the family perceive increasing vulnerability and uncertainty. The analysis and management of ethical issues in pediatric surgery cannot simply be extrapolated from the approach applied to adult cases. By reviewing the history of the events that contributed to the creation and utilization of hospital ethics committees and examining the role of the ethics consultant in the context of pediatric surgical care, practitioners and trainees will be better able to address these multifaceted situations.
Keywords:Pediatric ethical dilemmas  Ethics committees  Ethics consultation  Ethics mediation  Pediatric ethics consultation  Pitfalls of ethics consultation
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