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Anesth Analg 2001;93:1544-1545
© 2001 International Anesthesia Research Society

ECONOMICS AND HEALTH SYSTEMS RESEARCH

Patient Threats Present an Ethical Dilemma for the Anesthesiologist

John B. Pollard, MD, Michael W. Brook, MD, and Audrey Shafer, MD

Departments of Anesthesiology, Veterans Affairs Palo Alto Health Care System and Stanford University School of Medicine, Palo Alto, California

Address correspondence and reprint requests to John B. Pollard, VAPAHCS, Anesthesiology Service 112A, 3801 Miranda Avenue, Palo Alto, CA 94304. Address e-mail to John.Pollard{at}med.va.gov

IMPLICATIONS: Patients who receive sedation occasionally divulge thoughts that they would not usually express. This report describes a sedated patient who threatened to murder two family members. Immediate consultation with an attorney and psychiatrist is recommended when the anesthesiologist may be required to breach patient confidentiality to warn potential victims.






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins and Stanford University Libraries' HighWire Press®. Copyright 2001 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2001 by the International Anesthesia Research Society.