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Updated: Jun 22, 2026

Guidelines for Elective Pediatric Fiberoptic Intubation

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

Mandatory ethics consultation policy.

Megan E Romano¹, Staffan B Wahlander, Barbara H Lang

¹Department of Anesthesiology, Columbia University, New York, NY 10032, USA. meganromano@gmail.com

Mayo Clinic Proceedings

|July 2, 2009

Summary

This summary is machine-generated.

A mandatory ethics consultation policy at one hospital led to an 84% increase in consultations. This policy likely improved physician learning and awareness of ethics support services.

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Last Updated: Jun 22, 2026

Guidelines for Elective Pediatric Fiberoptic Intubation

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

Area of Science:

Medical Ethics
Clinical Ethics Consultation

Background:

Hospitals increasingly utilize ethics consultations to address complex patient care dilemmas.
Implementing mandatory policies for ethics consultations aims to standardize and enhance ethical decision-making processes.

Purpose of the Study:

To evaluate the impact of a mandatory ethics consultation policy on consultation volume and utilization at a single academic medical center.
To describe the characteristics and trends of ethics consultations under a mandatory policy.

Main Methods:

Retrospective review of medical records for adult intensive care unit patients who received ethics consultations between August 2006 and July 2007.
Analysis of consultation types (mandatory vs. nonmandatory), patient diagnoses, prognoses, advance directives, and survival data.
Examination of hospital-wide ethics consultation numbers from 2000 to 2007 to identify trends.

Main Results:

A total of 168 ethics consultations were reviewed, with 64% being mandatory and 36% nonmandatory.
The overall number of ethics consultations hospital-wide increased by 84% between 2000 and 2007.
The study period captured a significant shift towards mandatory consultations.

Conclusions:

The mandatory ethics consultation policy is associated with a substantial increase in consultation volume.
The policy may enhance physician and nurse awareness of and interaction with ethics consultation services.
Increased utilization suggests the policy effectively integrated ethics support into patient care.