创新与实验:伦理框架应用于接受光导向儿科手术的应用
Steven T Papastefan1, Christopher De Boer2, Suhail Zeineddin2
1Department of Surgery, Division of Pediatric Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA; Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Journal of pediatric surgery
|June 17, 2023
概括
将外科创新与研究区分开来,对于推进儿科手术至关重要. 在光导向外科手术中,当应用道德框架时,氨酸绿的新应用被认为是创新,而不是人类受试者研究.
科学领域:
- 儿科手术 儿科手术
- 手术创新伦理学 手术创新伦理学
- 医疗技术评估 医疗技术评估
背景情况:
- 推进儿科手术需要创新,但将创新与研究区分开来会带来伦理上的挑战.
- 对新儿科技术的怀疑常常会模糊创新与实验之间的界限.
- 光引导的手术在这个道德话语中是一个关键的例子.
研究的目的:
- 应用现有的概念框架来区分外科创新和小儿外科实验.
- 检查机构审查委员会在评估外科实践创新的作用.
- 为评估外科创新提供一个框架,以有效地推进外科领域的发展.
主要方法:
- 对外科创新的概念框架的审查.
- 分析儿科外科实践中的伦理考虑.
- 案例研究应用使用光导向手术和氨酸绿色.
- 通过平衡和风险-收益评估的镜头进行评估.
主要成果:
- 在光导向外科手术中印氨酸绿的新应用,在通过既定框架进行评估时,不构成人类受试者研究.
- 创新和实验之间的关键区别包括风险概况,先前的人类使用和来自相关领域的适应.
- 已建立的框架和配备概念有助于评估外科创新.
结论:
- 光导向的外科创新,特别是新的氨酸绿色应用,在伦理上可以与人类受试者研究区分开来.
- 医生可以利用这些评估镜头在儿科手术中取得明智和高效的改进.
- 清晰的区别支持在儿科中负责任地采用新的外科技术.
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