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10.1136/medethics-2020-106446 http://scihub22266oqcxt.onion/10.1136/medethics-2020-106446 32532825!7316104!32532825     free     free     free Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       J+Med+Ethics 2020 ; 46 (8): 505-507 Nephropedia Template TP {{tp|p=32532825|t=2020. Surgery during COVID-19 crisis conditions: can we protect our ethical integrity against the odds?|pdf=|usr=}}{{32532825}} gab.com Text Surgery during COVID-19 crisis conditions: can we protect our ethical integrity against the odds JO: J Med Ethics http://www.kidney.de/pget.php?&tw=1&pmid=32532825 #FOAvip COVID-19 is reducing the ability to perform surgical procedures worldwide, giving rise to a multitude of ethical, practical and medical dilemmas. Adapting to crisis conditions requires a rethink of traditional best practices in surgical management, delving into an area of unknown risk profiles. Key challenging areas include cancelling elective operations, modifying procedures to adapt local services and updating the consenting process. We aim to provide an ethical rationale to support change in practice and guide future decision-making. Using the four principles approach as a structure, Medline was searched for existing ethical frameworks aimed at resolving conflicting moral duties. Where insufficient data were available, best guidance was sought from educational institutions: National Health Service England and The Royal College of Surgeons. Multiple papers presenting high-quality, reasoned, ethical theory and practice guidance were collected. Using this as a basis to assess current practice, multiple requirements were generated to ensure preservation of ethical integrity when making management decisions. Careful consideration of ethical principles must guide production of local guidance ensuring consistent patient selection thus preserving equality as well as quality of clinical services. A critical issue is balancing the benefit of surgery against the unknown risk of developing COVID-19 and its associated complications. As such, the need for surgery must be sufficiently pressing to proceed with conventional or non-conventional operative management; otherwise, delaying intervention is justified. For delayed operations, it is our duty to quantify the long-term impact on patients' outcome within the constraints of pandemic management and its long-term outlook. Twit Text FOAVip Surgery during COVID-19 crisis conditions: can we protect our ethical integrity against the odds ????J Med Ethics http://www.kidney.de/pget.php?&tw=1&pmid=32532825 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32532825 #FOAvip English Wikipedia <ref>{{Cite pmid|32532825}}</ref> Surgery during COVID-19 crisis conditions: can we protect our ethical integrity against the odds? #MMPMID32532825 Macleod J; Mezher S; Hasan R J Med Ethics 2020[Aug]; 46 (8): 505-507 PMID32532825show ga COVID-19 is reducing the ability to perform surgical procedures worldwide, giving rise to a multitude of ethical, practical and medical dilemmas. Adapting to crisis conditions requires a rethink of traditional best practices in surgical management, delving into an area of unknown risk profiles. Key challenging areas include cancelling elective operations, modifying procedures to adapt local services and updating the consenting process. We aim to provide an ethical rationale to support change in practice and guide future decision-making. Using the four principles approach as a structure, Medline was searched for existing ethical frameworks aimed at resolving conflicting moral duties. Where insufficient data were available, best guidance was sought from educational institutions: National Health Service England and The Royal College of Surgeons. Multiple papers presenting high-quality, reasoned, ethical theory and practice guidance were collected. Using this as a basis to assess current practice, multiple requirements were generated to ensure preservation of ethical integrity when making management decisions. Careful consideration of ethical principles must guide production of local guidance ensuring consistent patient selection thus preserving equality as well as quality of clinical services. A critical issue is balancing the benefit of surgery against the unknown risk of developing COVID-19 and its associated complications. As such, the need for surgery must be sufficiently pressing to proceed with conventional or non-conventional operative management; otherwise, delaying intervention is justified. For delayed operations, it is our duty to quantify the long-term impact on patients' outcome within the constraints of pandemic management and its long-term outlook. |*Ethics, Medical[MESH] |Betacoronavirus[MESH] |COVID-19[MESH] |Coronavirus Infections/*complications/virology[MESH] |Cost-Benefit Analysis[MESH] |Decision Making/*ethics[MESH] |England[MESH] |Ethical Analysis[MESH] |Ethical Theory[MESH] |General Surgery/*ethics[MESH] |Health Equity/*ethics[MESH] |Humans[MESH] |Informed Consent/ethics[MESH] |Moral Obligations[MESH] |Pandemics/*ethics[MESH] |Patient Selection/*ethics[MESH] |Pneumonia, Viral/*complications/virology[MESH] |Practice Guidelines as Topic[MESH] |Principle-Based Ethics[MESH] |Risk Assessment[MESH] |SARS-CoV-2[MESH] |State Medicine[MESH] |Surgeons[MESH]Surgery during COVID-19 crisis conditions: can we protect our ethical (epmc).pdf DeepDyve Pubget Overpricing