背景:任何手术干预都需要知情同意,因为只有消息灵通的患者才能积极参与他们护理的决策过程,更好地了解他们治疗的可能或潜在结果。对于悬吊式显微喉镜(SML)的知情同意尚无共识。
方法:研究了五大洲九个国家的知情同意程序。
结果:可以看出几种风险:SML作为程序的风险,SML的麻醉风险,语音外科的特定风险,声门暴露不足或意外发现的风险,不治疗的风险。SML已经认识到潜在的并发症,可以分为暂时的(轻微的)并发症,和持续的(主要)并发症。
结论:SML是一种安全的手术,发病率低,几乎没有死亡。提出了11项建议。
BACKGROUND: Informed consent for any surgical intervention is necessary, as only well-informed patients can actively participate in the decision-making process about their care, and better understand the likely or potential outcomes of their treatment. No consensus exists on informed consent for suspension microlaryngoscopy (SML).
METHODS: Informed consent procedures in nine countries on five continents were studied.
RESULTS: Several risks can be discerned: risks of SML as procedure, anesthesiologic risks of SML, specific risks of phonosurgery, risks of inadequate glottic exposure or unexpected findings, risks of not treating. SML has recognized potential complications, that can be divided in temporary (minor) complications, and lasting (major) complications.
CONCLUSIONS: SML is a safe procedure with low morbidity, and virtually no mortality. Eleven recommendations are provided.