Cesarean section is a very effective protective measure for mother and fetus, as it could solve obstructed labor and some cases requiring timely delivery. Spinal or epidural anesthesia does not require intubation and could effectively reduce the risk of aspiration of gastric contents, which is considered to be the best anesthesia for cesarean section. However, in special situations such as fetal distress, general anesthesia is often adopted by anesthesiologists because of its quick and powerful effect. Adverse effects of general anesthesia include reflux, aspiration, postoperative nausea and vomiting, hypoxemia and insufficient ventilation, which are not good for the mother and the fetus. Before signing the consent form, the anesthesiologist should explain the advantages and risks of each type of anesthesia to the mother and her family. However, in the case of emergency cesarean section to buy time for the operation, anesthesiologists may adopt paternalistic style and tandemly explain the risks of anesthesia to the puerperal, thus ignoring the informed consent and decision-making rights of the puerperal and her family members. It is a challenge for anesthesiologists to ensure maternal autonomy while ensuring the safety of the mother and fetus. This paper discusses the thinking mode and key points of anesthesiologists and nurses in the course of anesthesiologists' and nurses' roles in order to avoid violating ethics in practice.
Published in | International Journal of Anesthesia and Clinical Medicine (Volume 10, Issue 1) |
DOI | 10.11648/j.ijacm.20221001.14 |
Page(s) | 24-27 |
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2022. Published by Science Publishing Group |
Consent Process, Emergency Caesarean Section, Anesthesia
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APA Style
Chulei Ji, Guanghao Zhang, Ru Yu, Ya Su, Xianjie Zhang. (2022). Examining the Consent Process for Anesthesia in Emergency Caesarean Section. International Journal of Anesthesia and Clinical Medicine, 10(1), 24-27. https://doi.org/10.11648/j.ijacm.20221001.14
ACS Style
Chulei Ji; Guanghao Zhang; Ru Yu; Ya Su; Xianjie Zhang. Examining the Consent Process for Anesthesia in Emergency Caesarean Section. Int. J. Anesth. Clin. Med. 2022, 10(1), 24-27. doi: 10.11648/j.ijacm.20221001.14
@article{10.11648/j.ijacm.20221001.14, author = {Chulei Ji and Guanghao Zhang and Ru Yu and Ya Su and Xianjie Zhang}, title = {Examining the Consent Process for Anesthesia in Emergency Caesarean Section}, journal = {International Journal of Anesthesia and Clinical Medicine}, volume = {10}, number = {1}, pages = {24-27}, doi = {10.11648/j.ijacm.20221001.14}, url = {https://doi.org/10.11648/j.ijacm.20221001.14}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijacm.20221001.14}, abstract = {Cesarean section is a very effective protective measure for mother and fetus, as it could solve obstructed labor and some cases requiring timely delivery. Spinal or epidural anesthesia does not require intubation and could effectively reduce the risk of aspiration of gastric contents, which is considered to be the best anesthesia for cesarean section. However, in special situations such as fetal distress, general anesthesia is often adopted by anesthesiologists because of its quick and powerful effect. Adverse effects of general anesthesia include reflux, aspiration, postoperative nausea and vomiting, hypoxemia and insufficient ventilation, which are not good for the mother and the fetus. Before signing the consent form, the anesthesiologist should explain the advantages and risks of each type of anesthesia to the mother and her family. However, in the case of emergency cesarean section to buy time for the operation, anesthesiologists may adopt paternalistic style and tandemly explain the risks of anesthesia to the puerperal, thus ignoring the informed consent and decision-making rights of the puerperal and her family members. It is a challenge for anesthesiologists to ensure maternal autonomy while ensuring the safety of the mother and fetus. This paper discusses the thinking mode and key points of anesthesiologists and nurses in the course of anesthesiologists' and nurses' roles in order to avoid violating ethics in practice.}, year = {2022} }
TY - JOUR T1 - Examining the Consent Process for Anesthesia in Emergency Caesarean Section AU - Chulei Ji AU - Guanghao Zhang AU - Ru Yu AU - Ya Su AU - Xianjie Zhang Y1 - 2022/04/28 PY - 2022 N1 - https://doi.org/10.11648/j.ijacm.20221001.14 DO - 10.11648/j.ijacm.20221001.14 T2 - International Journal of Anesthesia and Clinical Medicine JF - International Journal of Anesthesia and Clinical Medicine JO - International Journal of Anesthesia and Clinical Medicine SP - 24 EP - 27 PB - Science Publishing Group SN - 2997-2698 UR - https://doi.org/10.11648/j.ijacm.20221001.14 AB - Cesarean section is a very effective protective measure for mother and fetus, as it could solve obstructed labor and some cases requiring timely delivery. Spinal or epidural anesthesia does not require intubation and could effectively reduce the risk of aspiration of gastric contents, which is considered to be the best anesthesia for cesarean section. However, in special situations such as fetal distress, general anesthesia is often adopted by anesthesiologists because of its quick and powerful effect. Adverse effects of general anesthesia include reflux, aspiration, postoperative nausea and vomiting, hypoxemia and insufficient ventilation, which are not good for the mother and the fetus. Before signing the consent form, the anesthesiologist should explain the advantages and risks of each type of anesthesia to the mother and her family. However, in the case of emergency cesarean section to buy time for the operation, anesthesiologists may adopt paternalistic style and tandemly explain the risks of anesthesia to the puerperal, thus ignoring the informed consent and decision-making rights of the puerperal and her family members. It is a challenge for anesthesiologists to ensure maternal autonomy while ensuring the safety of the mother and fetus. This paper discusses the thinking mode and key points of anesthesiologists and nurses in the course of anesthesiologists' and nurses' roles in order to avoid violating ethics in practice. VL - 10 IS - 1 ER -