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The virtual uncertainty of futility in emergency surgery

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JAVANMARD-EMAMGHISSI, Hannah | MOUG, Susan J.

Futility is when ‘there is a goal, there is an action and activity aimed at achieving this goal and there is virtual certainty that the action will fail in achieving this goal’. Having been described initially by Hippocrates before his death in 370BC, the importance of futility remains today. Futility is underpinned by risk, where the danger or hazard to a patient is extreme. Although risk assessment is relevant in the elective setting, the emergency setting provides increased complexity due to time-pressured decisions that commonly happen in the middle of the night with limited multidisciplinary team support and reduced family presence to guide decisions. [Début de l'article]

http://dx.doi.org/10.1093/bjs/znac313

Voir la revue «The British journal of surgery»

Autres numéros de la revue «The British journal of surgery»

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