Capacity to give surgical consent does not imply capacity to give anesthesia consent: implications for anesthesiologists.

Abstract:

:There is precedent in medicine for recognizing and accepting intact decisional capacity and the subsequent ability to provide valid consent in one treatment domain, while simultaneously recognizing that the patient lacks decisional capacity in other domains. As such, obtaining consent for anesthesia for a surgical procedure is a separate entity from obtaining consent for the surgery itself. Anesthesia for surgery and the surgical procedure itself are separate treatment domains and as such require separate consents. Anesthesiologists should understand the independence of these functionally linked consent processes and be vigilant with respect to the informed consent process. The cases reported in this article show that capacity for surgical consent may be inadequate for consent to anesthesia because anesthesia involves more abstract concepts requiring a higher cognitive state than surgery, thus requiring a higher state of cognitive capacity for understanding.

journal_name

Anesth Analg

journal_title

Anesthesia and analgesia

authors

Marcucci C,Seagull FJ,Loreck D,Bourke DL,Sandson NB

doi

10.1213/ANE.0b013e3181c7eb12

subject

Has Abstract

pub_date

2010-02-01 00:00:00

pages

596-600

issue

2

eissn

0003-2999

issn

1526-7598

pii

110/2/596

journal_volume

110

pub_type

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