Book contents
- Clinical Ethics in Anesthesiology
- Clinical Ethics in Anesthesiology
- Copyright page
- Dedication
- Contents
- Contributors
- Foreword
- Preface
- 1 Consent and refusal
- 2 End-of-life issues
- 3 Pain management
- 4 Research and publication
- 5 Practice issues
- 36 The impaired anesthesiologist – addiction
- 37 The impaired anesthesiologist – sleep deprivation
- 38 Ethical considerations regarding the disabled anesthesiologist
- 39 The abusive and disruptive physician
- 40 Sexual harassment, discrimination, and faculty–student intimate relationships in anesthesia practice
- 41 Conflicts of interest – industry gifts to physicians
- 42 Disclosure of medical errors in anesthesiology practice
- 6 Anesthesiologists, the state, and society
- Index
37 - The impaired anesthesiologist – sleep deprivation
from 5 - Practice issues
Published online by Cambridge University Press: 05 March 2012
Book contents
- Clinical Ethics in Anesthesiology
- Clinical Ethics in Anesthesiology
- Copyright page
- Dedication
- Contents
- Contributors
- Foreword
- Preface
- 1 Consent and refusal
- 2 End-of-life issues
- 3 Pain management
- 4 Research and publication
- 5 Practice issues
- 36 The impaired anesthesiologist – addiction
- 37 The impaired anesthesiologist – sleep deprivation
- 38 Ethical considerations regarding the disabled anesthesiologist
- 39 The abusive and disruptive physician
- 40 Sexual harassment, discrimination, and faculty–student intimate relationships in anesthesia practice
- 41 Conflicts of interest – industry gifts to physicians
- 42 Disclosure of medical errors in anesthesiology practice
- 6 Anesthesiologists, the state, and society
- Index
Summary
The ASA Guidelines for the Ethical Practice of Anesthesiology outline the ethical responsibilities of anesthesiologists. Sleep is a basic human need. Sleep deprivation has a negative impact on performance, including the special sensory capabilities mentioned in the ethical guidelines. A basic primer in sleep physiology is important to understand the issues of sleep deprivation and its effect on performance. Anesthesiologists have an ethical responsibility to be optimally prepared to safely care for patients and this includes avoidance of impairments from any cause. Fatigue has been shown to affect performance to a similar degree that is associated with legal intoxication with alcohol. Anesthesiologists have ethical obligations to each other to promote work breaks, and discourage sleep deprivation among colleagues. Anesthesiologists also have obligations to work with hospitals to promote a culture of patient safety and proactively address fatigue-related risks.
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- Clinical Ethics in AnesthesiologyA Case-Based Textbook, pp. 224 - 229Publisher: Cambridge University PressPrint publication year: 2010