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09 April NB no ads:Layout 1 3/26/09 9:42 AM Page 7 “In two-thirds of the cases submitted for this research, anesthesiol- patient, were also expressed. Questions about trainee competence, ogists described ethical challenges in their experiences,” said Robert mistrust associated with past negative experiences, and misunder- Truog, MD, senior associate in Critical Care Medicine at Children’s standings between physicians and patients or families were all key and Executive Director, IPEP. “Most commonly, it was found that concerns from the residents. patients’ wishes not being honored, conflict between patient and family wishes and medical judgment, patient decision-making capac- Open Communication is Key ity, and concerns about upholding professional standards were the The findings ultimately show that having an open flow of communi- biggest obstacles.” cation regarding concerns of informed consent may lead to a more Practical challenges, identified in 56 percent of the difficult cases productive and less stressful process. Training programs may wish to submitted, included the amount of information that had to be offer guidance about identification and management of potential ethi- provided, communication barriers, and time limitations as the main cal challenges, as well as ways to address practical or relational diffi- concerns. culties that arise.I Relational challenges, that is, problems successfully relating to the Source: Children’s Hospital Boston/ New Ventilator Can Safely Sedate ICU Patients For Less new, recently licensed medical device developed by University Economic Outreach to expand the commercialization of early-stage A at Buffalo researchers would introduce into intensive care settings the powerful and effective method of anesthetizing patients that works so well in the operating room. university technologies utilizing private-sector resources. The Advantage of Inhaled Anesthetics The new UB ventilator has the potential to shorten the length of A key advantage of inhaled anesthetics over intravenous sedatives, patient stays in the intensive care unit (ICU) because it will greatly which is the current approach in the ICU, is that inhaled anesthesia reduce complications and habituation to sedatives used in the ICU. is delivered and cleared by way of the lungs, bypassing the metabolic It also is expected to be more cost-effective than current methods of and excretory systems. That’s a critical factor, Fuhrman said, for ventilating ICU patients. patients who have sustained damage to their kidneys or livers, as a The device also may have promising applications in treating large result of their illness. numbers of patients
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