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Paediatric anaesthesia · Aug 2020
How should we approach parental refusals of opioids on behalf of children in the perioperative setting? A practical approach based on ethical theory.
- Anna Moreno-Galvan, Jonathan Michael Marron, and Angela Maree Marsiglio.
- Rady Children's Hospital, San Diego, California, USA.
- Paediatr Anaesth. 2020 Aug 1; 30 (8): 852-858.
AbstractIn the midst of the current opioid epidemic, we have encountered more parents who are concerned about the use of opioids in the perioperative setting. Some parents have completely refused the use of opioids on behalf of their children. How should we approach this treatment refusal? This article describes ethical theory related to the refusal of treatment by parents on behalf of their children, and when it is justified to override parental decisions. We propose a decision-making framework that focuses on improving communication and considering alternatives. Assessment of harm to the child from avoiding opioids, as well as potential harms from overriding parental autonomy must be undertaken prior to considering overriding parents.© 2020 John Wiley & Sons Ltd.
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