A primer on the ethics of teaching and learning in airway management

Anaesthesia

Volumn 73, Issue 8, 2018, Pages 940-945

  McCarthy, S ^a   Cooper, R M ^b  

^a TORONTO GENERAL HOSPITAL   (Canada)

^b UNIVERSITY OF TORONTO   (Canada)

Author keywords

airway management; education; ethical principles: autonomy; ethics

Indexed keywords

ANESTHESIST; BENEFICENCE; EDITORIAL; HUMAN; INFORMED CONSENT; LEARNING; MEDICAL ETHICS; PATIENT AUTONOMY; PATIENT EDUCATION; PATIENT INFORMATION; PATIENT SAFETY; PROFESSIONAL COMPETENCE; RESPIRATION CONTROL; RESPONSIBILITY; TEACHING; ANESTHESIOLOGY; CLINICAL COMPETENCE; CURRICULUM; EDUCATION; ETHICS; PERSONAL AUTONOMY; PHYSICIAN; PROCEDURES;

AIRWAY MANAGEMENT; ANESTHESIOLOGY; CLINICAL COMPETENCE; CURRICULUM; HUMANS; INFORMED CONSENT; PERSONAL AUTONOMY; PHYSICIANS; TEACHING;

EID: 85046368482     PISSN: 00032409     EISSN: 13652044     Source Type: Journal    
DOI: 10.1111/anae.14313     Document Type: Editorial

References (26)

1. Cook TM, Duggan LV, Kristensen MS. In search of consensus on ethics in airway research. Anaesthesia 2017; 72: 1175–9.
2. Irwin MG, Ward PA. Consensus on ethics in airway research – a reply. Anaesthesia 2017; 72: 1278–9.
3. Brattebo G, Wisborg T, Solheim K, Oyen N. Public opinion on different approaches to teaching intubation techniques. British Medical Journal 1993; 307: 1256–7.
4. Ward PA, Irwin MG. Man vs. manikin revisited – the ethical boundaries of simulating difficult airways in patients. Anaesthesia 2016; 71: 1399–403.
5. Beauchamp T, Childress J. Principles of biomedical ethics, 7th edn. New York, NY: Oxford University Press, 2013.
6. Gillon R. Defending the four principles approach as a good basis for good medical practice and therefore for good medical ethics. Journal of Medical Ethics 2015; 41: 111–16.
7. Munyaradzi M. Critical reflections on the principle of beneficence in biomedicine. Pan African Medical Journal 2012; 11: 29.
8. Yentis SM. The use of patients for learning and maintaining practical skills. Journal of the Royal Society of Medicine 2005; 98: 299–302.
9. Sainsbury JE, Telgarsky B, Parotto M, Niazi A, Wong DT, Cooper RM. The effect of verbal and video feedback on learning direct laryngoscopy among novice laryngoscopists: a randomized pilot study. Canadian Journal of Anesthesia 2017; 64: 252–9.
10. Alexander L, Moore M. Deontological ethics. In: Zalta EN, ed. The Stanford Encyclopedia of Philosophy (Winter 2016 Edition), Stanford, CA: Stanford University. https://plato.stanford.edu/archives/win2016/entries/ethics-deontological/
11. Stringer KR, Bajenov S, Yentis SM. Training in airway management. Anaesthesia 2002; 57: 967–83.
12. Shiga T, Wajima ZI, Inoue T, Sakamoto A. Predicting difficult intubation in apparently normal patients. A meta-analysis of bedside screening test performance. Anesthesiology 2005; 103: 429–37.
13. Yentis SM. Predicting difficult intubation – worthwhile exercise or pointless ritual? Anaesthesia 2002; 57: 105–9.
14. Pandit JJ, Heidegger T. Putting the ‘point’ back into the ritual: a binary approach to difficult airway prediction. Anaesthesia 2017; 72: 283–8.
15. Yentis SM, Hartle AJ, Barker IR, et al. Association of anaesthetists: consent for anaesthesia. Anaesthesia 2017; 72: 93–105.
16. Chrimes N, Marshall SD. The illusion of informed consent. Anaesthesia 2018; 73: 9–14.
17. McCombe K, Bogod DG. Paternalism and consent: has the law finally caught up with the profession? Anaesthesia 2015; 70: 1016–19.
18. Bray JK, Yentis SM. Attitudes of patients and anaesthetists to informed consent for specialist airway techniques. Anaesthesia 2002; 57: 1012–15.
19. Brattebo G, Wisborg T, Solheim K, Oyen N. Ethical dilemmas when teaching intubation techniques – what does the population think? Tidsskrift for Den Norske Laegeforening 1994; 114: 1534–7.
20. Shooner C. The ethics of learning from patients. Canadian Medical Association Journal 1997; 156: 535–8.
21. Santen SA, Hemphill RR, Spanier CM, Fletcher ND. ‘Sorry, it's my first time!’ Will patients consent to medical students learning procedures? Medical Education 2005; 39: 365–9.
22. Eaton ML. Ethics and the business of bioscience, Stanford, CA: Stanford University Press, 2004.
23. Ireland MCo. Guide to professional conduct and ethics for registered medical practitioners, 8th edition. Edited by Council IM. Ireland, 2016, pp 64.
24. Peterson GN, Domino KB, Caplan RA, Posner KL, Lee LA, Cheney FW. Management of the difficult airway. A closed claims analysis. Anesthesiology 2005; 103: 33–9.
25. Cook TM, Woodall N, Frerk C. A national survey of the impact of NAP4 on airway management practice in United Kingdom hospitals: closing the safety gap in anaesthesia, intensive care and the emergency department. British Journal of Anaesthesia 2016; 117: 182–90.
26. Gillon R. Ethics needs principles – four can encompass the rest–and respect for autonomy should be “first among equals”. Journal of Medical Ethics 2003; 29: 307–12.