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Ann Thorac Surg 2002;74:1432-1433
© 2002 The Society of Thoracic Surgeons

Ethics in cardiothoracic surgery

Editorial comment on Mckneally’s and Guinn’s discussions

Robert M. Sade, MDa*

a Department of Surgery, Institute of Human Values in Health Care, Medical University of South Carolina, Charleston, South Carolina, USA

* Address reprint requests to Dr Sade, Department of Surgery, 96 Jonathan Lucas St, Suite 409, PO Box 250612, Charleston, SC 29425, USA.
e-mail: sader@musc.edu

The first 20% of the full text of this article appears below.

If the story of Mr Charles and Dr Smith were a routine case of a follower of the Jehovah’s Witness faith undergoing an operation, the answer to the ethical question of whether the needed transfusions should have been given would be straightforward. The surgeon should not give blood, because the patient directed him not to do it, and he agreed not to do it. But, as is true of many clinical situations that involve conflicting values, the concrete details of the specific case muddy the crystal-clear ethical waters.

There is no question that Mrs Charles . . . [Full Text of this Article]






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