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Highly commended in the anaesthesia category of the British Medical Association Book Awards 2010
Consent, benefit, and risk in anaesthetic practice
Edited by Jonathan G. Hardman, Iain K. Moppett, and Alan R. Aitkenhead
384 pages
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4 black-and-white line drawings
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234x156mm
978-0-19-929687-3
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Paperback
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26 February 2009
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- The first book to examine the principles of consent, benefit and risk in relation to the practice of anaesthesia - topics of growing importance
- Case studies used throughout to illustrate points and make medico-legal principles applicable to daily practice
- Relevant to both medical and non-medical medico-legal practitioners
- Collates previously obscure information, assisting readers in consenting patients and in explaining risk
Patients' expectations regarding involvement in their own healthcare have increased dramatically over the past few years. It is no longer acceptable for the doctor to dictate treatment; patients demand information regarding treatment options, and input into the selection of the most appropriate treatment plan. This is evidenced by court decisions that have upheld patient litigation on the basis that inadequate information was given to them before treatment, and that they were unaware of risks of complications which subsequently materialised. Whilst these complaints are more typical against surgeons, similar claims are likely in relation to anaesthetic procedures. Anaesthesia is no longer considered a non-negotiable aspect of surgical care, and
anaesthetists need to be aware of current issues surrounding provision of information concerning risks and benefits of anaesthesia, and obtaining consent.
This book provides useful, up-to-date information for anaesthetists and medico-legal practitioners regarding consent, risk and benefit in anaesthesia. It begins with the general principles of consent, and how risks and benefits might be conveyed. This is followed by an exploration of the clinical contexts in which consent is needed, covering obstetrics, emergency surgery, and critical care. Special considerations such as children, high risk patients and the incapacitated/incompetent adult are also identified. Section 3 covers specific risks and benefits associated with anaesthesia. These are referenced by
physiological system and anaesthetic technique, and illustrated with case scenarios, to provide the reader with accessible information that is relevant to daily practice. The book concludes with valuable contributions from those outside anaesthesia: the legal perspective, and that of the patient. Edited by experts in medico-legal studies and anaesthesia, this first book in this complex field will prove invaluable for those dealing with the increasing demands of consent, benefit and risk in anaesthesia.Readership: This book will be relevant to anaesthetists and medico-legal practitioners.
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Edited by Jonathan G. Hardman, Associate Professor and Reader and honorary consultant anaesthetist, University of Nottingham, UK, Iain K. Moppett, Associate Professor and Honorary Consultant Anaesthetist, University of Nottingham, UK, and Alan R. Aitkenhead, Professor of Anaesthesia and honorary consultant anaesthetist, University of Nottingham, UK Contributors:
Alan R. Aitkenhead, Professor of Anaesthesia, Division of Anaesthesia and Intensive Care, University of Nottingham, Queen's Medical Centre, Nottingham, UK
Oliver Dearlove, Department of Anaesthesia, Royal Manchester Children's Hospital,
Manchester, UK
Elizabeth A. Flockton, University Department of Anaesthesia, School of Clinical Sciences, Duncan Building, Daulby Street, Liverpool, UK
Ronnie Glavin, Scottish Clinical Simulation Centre, Stirling Royal Infirmary, Stirling, UK
Jonathan G. Hardman, Associate Professor & Reader in Anaesthesia, University of Nottingham, Queen's Medical Centre, Nottingham, UK
Simon P. Holbrook, University of Leeds, Leeds Teaching Hospitals Trust, Academic Unit of Anaesthesia, St. James's University Hospital, Leeds, UK
Philip M. Hopkins, University of Leeds, Leeds Teaching Hospitals Trust, Academic Unit of Anaesthesia, St. James's University Hospital, Leeds, UK
Simon Howell, Senior Lecturer in Anaesthesia, Leeds General Infirmary,
Great George Street, Leeds, UK
Jennifer M. Hunter, University Department of Anaesthesia, School of Clinical Sciences, Duncan Building, Daulby Street, Liverpool, UK
M.A.M.S. Leigh, Hempsons Solicitors, Hempsons House, London, UK
Adam March
R.A. McCahon, Consultant Anaesthetist, Queen's Medical Centre, Nottingham, UK
Iain Moppett, Associate Professor & Honorary Consultant Anaesthetist, University of Nottingham, Queen's Medical Centre, Nottingham, UK
Michael H. Nathanson, Department of Anaesthesia, University Hospital, Queen's Medical Centre, Nottingham, UK
Ozzie Newell, Secretary and Treasurer of the Nottingham Stroke Research Consumer Group, Nottingham, UK
Felicity Plaat, Lead Clinician, Anaesthetics
Department, Queen Charlotte's and Chelsea Hospital for Women, London, UK
Bernard Riley, Adult Intensive Care Unit, Queen's Medical Centre, University Hospital Nottingham, UK
Henry J. Skinner, Consultant Anaesthetist, Department of Anaesthesia, City Hospital, Nottingham, UK
Wendy Scott, Consultant Anaesthetist, Derby City General Hospital, Derby, UK
Scott Wallace
Stuart M. White, Consultant Anaesthetist, Brighton and Sussex University Hospitals NHS Trust, UK
Robert J. Winter, Consultant Intensivist / Anaesthetist, Intensive Care Unit Queen's Medical Centre, Nottingham, UK
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"It is very readable and written by authors with experience and knowledge... the information given is clear and comprehensive. This will be useful to anyone practicing anaesthesia, whether as a consultant or in training." - British Journal of Anaesthesia
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Section 1: CONSENT
1: A.R. Aitkenhead: Generic aspects of consent
2: I.K. Moppett: Conveying risks and benefits
Section 2: CLINICAL CONTEXTS FOR CONSENT
3: W. Scott: Obstetrics
4: B. Riley: Emergency surgery
5: A. March & R.J. Winter: Critical care
6: S. Howell: High risk patients
7: O. Dearlove: Children
8: S.M. White: Incapacity - learning impaired, dementia, mental and emotional disturbance
9: E.A. Flockton & J.M. Hunter: Research, audit and trainees
Section 3: RISKS & BENEFITS
10: A.R. Aitkenhead: Mortality associated with anaesthesia
11: A.R. Aitkenhead: Awareness during anaesthesia
12: I.K. Moppett: Respiratory risk
13: H.J. Skinner: Cardiovascular risk
14: H.J. Skinner & I.K. Moppett: Haematological risk
15: J.G. Hardman: Nervous system and regional anaesthesia
16: M.H. Nathanson: Psychiatric risk
17: F. Plaat & S. Wallace: Endocrine and renal risk
18: R.A. McCahon & J.G. Hardman: Injury during anaesthesia
19: P.M. Hopkins: Temperature
20: I.K. Moppett: Equipment
21: R. Glavin: Drug reactions and drug errors
Section 4: PERSONAL PERSPECTIVES
22: M.A.M.S. Leigh: The legal framework for consent
23: O. Newell: The patient's perspective
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The specification in this catalogue, including without limitation price, format, extent, number of illustrations, and month of publication, was as accurate as possible at the time the catalogue was compiled. Occasionally, due to the nature of some contractual restrictions, we are unable to ship a specific product to a particular territory. Jacket images are provisional and liable to change before publication.
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