Legal medicine implications in fibrinolytic therapy of acute ischemic stroke

被引：12

作者：

Sabau, Monica ^{[1
,2
]}

Bungau, Simona ^{[3
]}

Buhas, Camelia Liana ^{[4
,5
]}

Carp, Gheorghe ^{[1
,6
]}

Daina, Lucia-Georgeta ^{[1
,2
]}

Judea-Pusta, Claudia Teodora ^{[4
,5
]}

Buhas, Bogdan Adrian ^{[7
]}

Jurca, Claudia Maria ^{[8
,9
]}

Daina, Cristian Marius ^{[1
,2
]}

Tit, Delia Mirela ^{[3
]}

机构：

[1] Cty Clin Emergency Hosp, Oradea, Romania

[2] Univ Oradea, Fac Med & Pharm, Dept Psychoneurosci & Rehabil, Oradea, Romania

[3] Univ Oradea, Fac Med & Pharm, Dept Pharm, Oradea, Bihor, Romania

[4] Univ Oradea, Fac Med & Pharm, Dept Morphol Disciplines, 50 Clujului St, Oradea 410060, Bihor, Romania

[5] Bihor Cty Forens Serv, 50 Clujului St, Oradea 410060, Bihor, Romania

[6] Univ Oradea, Fac Med & Pharm, Dept Surg Disciplines, Oradea, Romania

[7] Municipal Clin Hosp Cluj Napoca, Cluj Napoca, Romania

[8] Univ Oradea, Fac Med & Pharm, Dept Preclin Disciplines, Oradea, Romania

[9] Municipal Clin Hosp, Dept Genet, Dr Gavril Curteanu, Oradea, Romania

来源：

BMC MEDICAL ETHICS | 2019年 / 20卷 / 01期

关键词：

Stroke thrombolysis; Medical negligence; Prevention; Medico-legal issues in stroke; TISSUE-PLASMINOGEN ACTIVATOR; THROMBOLYTIC THERAPY; INFORMED-CONSENT; INTRAVENOUS THROMBOLYSIS; ALTEPLASE; TRIAL; CARE; ATLANTIS; REFUSAL;

D O I：

10.1186/s12910-019-0412-8

中图分类号：

B82 [伦理学（道德学）];

学科分类号：

摘要：

Background Before the advent of fibrinolytic therapy as a gold standard method of care for cases of acute ischemic stroke in Romania, issues regarding legal medicine aspects involved in this area of medical expertise were already presented and, in the majority of cases, the doctors seem to be unprepared for these situations. Main text The present research illustrates some of the cases in which these aspects were involved, that adressed a clinical center having 6 years of professional experience in the application of fibrinolytic treatment for stroke. The following cases report either situations in which the afore mentioned therapy was not rightfully administrated or legal aspects regarding the obtainment of informed consent. Conclusion Obtaining informed consent is a mandatory procedure, which takes time, to the detriment of application of fibrinolytic treatment.

引用

页数：9

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