Ethics in Neurosurgical Practice

A comprehensive introduction and practical framework to bioethics, for all who are involved in the management of neurosurgical patients.

Stephen Honeybul (Edited by)

9781108494120, Cambridge University Press

Hardback, published 18 June 2020

270 pages, 13 b/w illus. 20 tables
24 x 16.2 x 1.7 cm, 0.59 kg

'This introductory ethics textbook follows the conventional format both stylistically and structurally. It includes chapters on ethical theories … ethical issues specific to neurosurgical practice, case scenarios, developments in neurosurgical technologies, and specific procedures that have introduced new ethical issues … the book becomes a valuable resource for both students and practitioners by opening a questioning dialog and by sustaining the conversation about current ethical considerations in neurosurgical practice.' D. P. Turner, Choice

Neurosurgical interventions have the potential to change a person's concept of self, as well as affect their neurological and cognitive function to an unacceptable level for both patient and family. In an increasingly complex and evolving field, the ethical implications of treatments and their eventual outcomes must be carefully balanced. Ethics in Neurosurgical Practice is a comprehensive and practical guide for managing the treatment of patients with debilitating neurosurgical conditions. Chapters address specific conditions, such as traumatic brain injuries, ischemic stroke and spinal surgery, and the ethical challenges that each of these pose. Detailed case studies present potential scenarios that readers might encounter, and their outcomes. Future developments of this fast-paced field are expanded upon, including televised live surgery and the ethical aspects of innovation in neurosurgery. A broad variety of contributors in different fields, including neurosurgeons, intensivists and bioethicists, ensures comprehensive coverage from a range of views and experiences.

Introduction Stephen Honeybul
Part I. General Ethics: 1. Introduction and principles of bioethics Ian Kerridge
2. Models and methods in ethics Cara Sedney
3. The concept and implementation of values based medicine (VsBM) in neurosurger Ahmed Ammar and Tiit Mathiesen
4. The three functions of consent in neurosurgery Cameron Stewart and Ian Kerridge
5. Withholding and withdrawing medical treatment: legal, ethical and practical considerations Cameron Stewart, Tiit Mathiesen and Ahmed Ammar
6. Surgical training Magnus Tisell and Naci Balak
7. The aging surgeon Stephen Honeybul and Gene Bolles
8. Healthcare economics Naci Balak and Magnus Tisell
9. Patient data, ownership, storage, and social media David Cote and Timothy Smith
Part II. Neurosurgery Specific Bioethics: 10. Historical overview of ethics in neurosurgery Cara Sedney
11. Evidence-based neurosurgery: principles, applicability and challenges Ignatius Esene
12. Ethical challenges of neurosurgical care for brain tumour patients Marike Broekman, Alexander Hulsbergen and Timothy Smith
13. Severe traumatic brain injury Stephen Honeybul, Kwok Ho and Grant Gillett
14. 'Malignant' middle cerebral artery infarction Stephen Honeybul, Volker Puetz and Lars-Peder Pallesen
15. Aneurysmal subarachnoid haemorrhage Stephen Honeybul and Albert Chiu
16. Paediatric neurosurgery Naci Balak and Ulrika Sandvik
17. Spinal neurosurgery Cara Sedney
18. Ethical challenges in psychosurgery: a new start or more of the same? Paul A. Komesaroff and Jeffrey Rosenfeld
19. Brain death and organ donation George Skowronski and Ian Kerridge
Part III. Future Developments: 20. Ethical aspects of innovation in neurosurgery Mario Ammirati, Jeffrey Rosenfeld and Alexander Hulsbergen
21. Stem cells and brain repair: ethical considerations Ivar Mendez
22. Brain machine-interface technology in neurosurgery Jeffrey Rosenfeld and Marike Broekman
23. International neurosurgery Ann Mansur and Mark Bernstein
24. Live televised surgery Eiichi Ishikawa, Nobuyuki Sakai, Stephen Honeybul and Akira Matsumura
Index.

Subject Areas: Neurology & clinical neurophysiology [MJN], Medical ethics & professional conduct [MBDC]