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Anesthesia for Children: Getting Informed Consent Under Duress
Date:3/5/2009

lick( this.href );" target="_blank" title="Perioperative Anesthesia">Perioperative Anesthesia, at Children's, and his team studied these narratives and categorized their experiences. "From those narratives, we were able to delve deeper and begin to search for commonalities in terms and phrases. These commonalities helped identify the core problems these doctors were facing," says Waisel.

The researchers independently read the narratives and marked key words and phrases to identify reoccurring challenges described by anesthesiologists. They were then able to compare and agree on the challenges that were faced, and finally, calculated their frequency.

Comprehensive research into each narrative lead to identifying the three types of challenges anesthesiologist were facing; ethical, practical and relational. Each of those types had specific examples researchers recognized. In each of the three categories, actual examples from narratives are included in the study to provide realistic representation for each concern.

"In two-thirds of the cases submitted for this research, anesthesiologists described ethical challenges in their experiences," said Robert Truog, MD, Senior Associate in Critical Care Medicine at Children's and Executive Director, IPEP. "Most commonly, it was found that patients' wishes not being honored, conflict between patient and family wishes and medical judgment, patient decision-making capacity and concerns about upholding professional standards were the biggest obstacles."

Practical challenges, identified in 56 percent of the difficult cases submitted, included the amount of information that had to be provided; communication barrier
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Anesthesia for Children: Getting Informed Consent Under Duress
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