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Closing the gaps: consent and preoperative assessment for children and young people

Hugo Wellesley1, Simon P Courtman2

  • 1Department of Anaesthesia, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.

British Journal of Anaesthesia
|May 10, 2024
PubMed

Insights

Anaesthetists must discuss mortality risks during consent, requiring enhanced preassessment services for pediatric patients. Investment is crucial for these vital services to meet evolving ethical and legal standards in the UK.

Area of Science:

  • Medical Ethics
  • Anesthesiology
  • Pediatric Care

Background:

  • Evolving UK ethical and legal standards necessitate explicit discussion of mortality risks during the anaesthetic consent process.
  • Current anaesthetic preassessment services for children and young people require expansion to effectively address these discussions.

Discussion:

  • Effective consent requires anaesthetists to routinely communicate the risk of death.
  • Expanding preassessment services for pediatric patients is essential for informed consent.
  • Trust-level investment and recognition of value are needed for service expansion.

Key Insights:

  • Routine discussion of mortality risk during anaesthetic consent is a new ethical and legal requirement in the UK.
  • Enhanced preassessment services are critical for pediatric anaesthesia to manage consent effectively.
  • There is a recognized need for increased investment in pediatric anaesthetic preassessment services.

Outlook:

  • Future anaesthetic practice must integrate comprehensive risk discussions into the consent process.
  • Increased investment in pediatric preassessment services is anticipated to improve patient safety and informed consent.
  • A greater appreciation of the value of preassessment services at the trust level is needed to drive necessary changes.

Keywords:
General Medical Councilchildren and young peopleconsent for anaesthesiaethics and lawpaediatric anaesthesiapreoperative assessmentrisks of anaesthesia

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