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Published on: January 17, 2011
[Informed consent for standard procedures and for clinical research in paediatric anaesthesia]
I Murat1, N Sabourdin, E Balestrat
1Service d'anesthésie-réanimation, hôpital d'enfants Armand-Trousseau, 75571 Paris, France. isabelle.murat@trs.aphp.fr
Insights
Parental consent is required for pediatric medical procedures and research. For research, both parents must consent, and assent from mature minors is necessary, with judicial intervention for complex cases.
Area of Science:
- Pediatric medical ethics
- Informed consent in clinical research
Context:
- Understanding the nuances of obtaining consent from pediatric patients is crucial in healthcare settings.
- Legal and ethical frameworks govern consent for routine procedures versus research protocols involving minors.
Purpose:
- To delineate the specific requirements for obtaining informed consent from pediatric patients.
- To outline procedures for handling consent challenges, including parental disagreements and religious objections (e.g., Jehovah Witnesses).
Summary:
- Routine pediatric procedures require consent from one parent.
- Clinical research involving minors necessitates consent from both parents and, if mature enough, the assent of the child.
- Disputes regarding consent should be escalated to a child protection judge.
Impact:
- Ensures ethical conduct in pediatric research and clinical practice.
- Provides clear guidelines for healthcare professionals navigating consent complexities with minors.
- Upholds the rights and welfare of children in medical decision-making.
Abstract:
This short review is aimed at describing the particularities of consent in paediatric patients. For routine procedures, the consent of one of the parents is required whereas both parents should sign the consent for research protocols. In case of difficulties such as Jehovah witnesses or parental opposite opinions, doctors should ask the question to the judge in charge of protection of children. Consent or at least assent of minors enrolled in research protocols should be obtained provided their maturity is sufficient to understand correctly the purpose of clinical research.
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