Acting In Good Faith: Operating Without Truly Informed Consent

Acting In Good Faith: Operating Without Truly Informed Consent
Jeffrey G. Gaca
The Annals of Thoracic Surgery, December 2019; 108(6) pp 1613-1614
Abstract
Patients who undergo cardiac surgical procedures represent the full spectrum of society, from those who obsessively research, investigate, and query the treating physicians prior to an operation to those who want to hear nothing at all about an upcoming procedure. This latter group of patients often will say, “Doc, I trust you, just do what you think is right.” The key question in this scenario1 is should the surgeon proceed with mitral valve repair without truly informed consent? Informed consent comprises several important fundamental elements, including (1) competence, (2) disclosure, and (3) voluntariness.

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