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

s; and time limitations as the main concerns.

Relational challenges, that is problems successfully relating to the patient, were also expressed. Questions about trainee competence, mistrust associated with past negative experiences, and misunderstandings between physicians and patients or families were all key concerns from the residents.

The findings ultimately show that having an open flow of communication regarding concerns of informed consent may lead to a more productive and less stressful process for physicians. Training programs may wish to offer guidance about identification and management of potential ethical challenges, as well as ways to address practical or relational difficulties that arise. This study serves as a way to identify the initial problem, giving readers the opportunity to address the situation, in their own setting, as they see fit.

An accompanying editorial, by Audrey Shafer, MD, Department of Anesthesia, Stanford University School of Medicine, notes that "the study offer us the pangs of acknowledgment of human-human encounters as we read the narratives." She goes on to mention that the findings "bring to the fore the fact that the practice of anesthesiology can be stressful - even without a drop in oxygen saturation."

To access the article online, copy and paste the following link into your Web browser: journals.lww.com/anesthesiology/Abstract/2009/03000/Anesthesiology_Trainees_Face_Ethical,_Practical,.10.aspx

Children's Hospital Boston is home to the world's largest research enterprise based at a pediatric medical center, where its discoveries have benefited both children and adults since 1869. More than 500 scientists, including eight members of the National Academy of Sciences, 11 members of the Institute of Medicine and 13 members of the Howard Hughes Medical Institute comprise Children's research community. Founded as a 20-bed hospital for children, Children's Hospital
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