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Ethical Dilemmas II

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Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:

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Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
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Updated: Mar 21, 2026

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center

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A Surgeon's Dilemma.

Andrew G Shuman, Joseph J Fins

The Hastings Center Report

|May 7, 2016

Summary

This summary is machine-generated.

A critically ill cancer patient needs an emergent tracheotomy but faces low survival chances. The surgeon must weigh the patient's desire for time against surgical risks and emotional impact.

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Area of Science:

Oncology
Critical Care Medicine
Surgical Ethics

Background:

A 30-year-old single mother with recurrent, metastatic, treatment-refractory cancer presents with severe respiratory distress.
Her condition is complicated by an obstructive neck tumor, progressive lung disease, and pulmonary embolism.

Observation:

The patient cannot be safely intubated and requires an emergent awake tracheotomy.
Successful airway management offers a low likelihood of weaning from mechanical ventilation.

Findings:

The surgeon faces a complex ethical dilemma, balancing the patient's wish for more time with her child against significant surgical risks.
Potential intraoperative death and its emotional toll on staff, as well as perioperative morbidity and mortality conference scrutiny, are critical considerations.

Implications:

This case highlights the challenges in decision-making for critically ill patients with advanced cancer.
It underscores the ethical considerations for surgeons managing high-risk procedures in patients with poor prognoses.
The scenario prompts reflection on aggressive resuscitation versus palliative care in complex oncologic emergencies.