Patient and family attitudes regarding the practice of procedures on the newly deceased.

作者: Craig A. Manifold , Alan Storrow , Kevin Rodgers

DOI: 10.1111/J.1553-2712.1999.TB01046.X

关键词: Subgroup analysisPermissionConvenience sampleEmergency departmentSample size determinationProcedural skillDescriptive surveyCricothyrotomyMedicineMedical emergency

摘要: UNLABELLED Performance of emergency lifesaving procedures is an integral part medicine resident training. OBJECTIVE To assess attitudes ED patients regarding the practice on newly deceased. METHODS A descriptive survey was administered to a convenience sample and their families at two urban military Level-1 trauma centers. Subjects were asked about overall opinions nontherapeutic procedural skills themselves or relatives immediately after death in ED. Subgroup analysis included issue advanced permission defined by investigators as noninvasive (e.g., laryngeal mask airway) invasive cricothyrotomy). Data analyzed descriptively with chi-square appropriate. For comparison proportions, size least 140 chosen for alpha 0.05 beta 0.10 detect effect 0.3. Alpha corrected multiple comparisons prior study. RESULTS Three hundred seventeen surveys collected 88% (n = 280) complete. Seventy-five percent 290) 70% 273) respondents agreed after-death relatives, respectively. However, only 40% 106) 50% 131) would allow such without permission. Seventy-one 189) willing give living will, while 85% 238) indicated support wallet card format. There no significant difference rates when contrasting individual procedures. CONCLUSION Most are have performed shortly death, yet majority request that be obtained advance. will carried acceptable

参考文章(28)
Knopp R, Bioethics and health policy section: practicing procedures on the newly dead. Annals of Emergency Medicine. ,vol. 25, pp. 99- 100 ,(1995)
Guttorm Brattebø, SigurdH. Seim, TEACHING AND TRAINING OF INVASIVE PROCEDURES ON CADAVERS The Lancet. ,vol. 332, pp. 1078- 1079 ,(1988) , 10.1016/S0140-6736(88)90098-0
Jeffrey P. Burns, Frank E. Reardon, Robert D. Truog, Using newly deceased patients to teach resuscitation procedures. The New England Journal of Medicine. ,vol. 331, pp. 1652- 1655 ,(1994) , 10.1056/NEJM199412153312411
A. Spital, Living kidney donation. Attitudes outside the transplant center Archives of Internal Medicine. ,vol. 148, pp. 1077- 1080 ,(1988) , 10.1001/ARCHINTE.148.5.1077
James P. Orlowski, George A. Kanoti, Maxwell J. Mehlman, The ethics of using newly dead patients for teaching and practicing intubation techniques. The New England Journal of Medicine. ,vol. 319, pp. 439- 441 ,(1988) , 10.1056/NEJM198808183190710
Avraham Steinberg, Ethical issues in nephrology—Jewish perspectives Nephrology Dialysis Transplantation. ,vol. 11, pp. 961- 963 ,(1996) , 10.1093/NDT/11.6.961
PH. De Vusser, H. Bounameaux, R. Verhaeghe, J. De Groote, Liver cirrhosis, ascites, and peripheral vascular resistance. The Lancet. ,vol. 2, pp. 1078- 1078 ,(1985) , 10.1016/S0140-6736(85)90955-9