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Consent for Invasive Procedures in the Newly Deceased-Reply FREE

Robert McNamara, MD
JAMA. 1995;274(2):129-129. doi:10.1001/jama.1995.03530020046026
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In Reply.  —Drs Brattebø and Wisborg raise an interesting point about practicing procedures on living patients. However, consent forms for surgery and other procedures are usually worded in such a way that the attending physicians "may utilize assistants" as they see fit. In my practice, this is how many such teaching activities are justified on living patients. I do agree that in circumstances such as the resuscitation of a dying patient, this is a gray area, and the patient and family are often unaware of what actually transpires.On the other hand, I do not think that having a narrow majority of patient families in the studies1 agree to such teaching activities creates a clear mandate to allow for presumed consent for endotracheal intubation. Ideally, a policy should be crafted that all levels of the health care team would be aware of and support. Input into such a policy

REFERENCES

Brattebø G, Wisborg T, Solheim K, Øyen N.  Public opinion on different approaches to teaching intubation techniques. BMJ . 1993;;307:1256-1257.
Burns JP, Reardon FE, Truog RD.  Using newly deceased patients to teach resuscitation procedures. N Engl J Med . 1994;;281:1553-1556.

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Brattebø G, Wisborg T, Solheim K, Øyen N.  Public opinion on different approaches to teaching intubation techniques. BMJ . 1993;;307:1256-1257.
Burns JP, Reardon FE, Truog RD.  Using newly deceased patients to teach resuscitation procedures. N Engl J Med . 1994;;281:1553-1556.
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