id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-294184-jte9xx5e	Macleod, Jack	Surgery during COVID-19 crisis conditions: can we protect our ethical integrity against the odds?	2020-06-12		.txt	text/plain	2742	175	48	Careful consideration of ethical principles must guide production of local guidance ensuring consistent patient selection thus preserving equality as well as quality of clinical services. As a surgical department operating under COVID-19 (severe acute respiratory syndrome coronavirus 2) crisis conditions, a multitude of ethical, practical and medical dilemmas are encountered. Coupling the unclear risk profile of COVID-19 with a lack of alternatives to provide the gold standard surgery, what is the ethical justification for performing a substitute procedure on this cohort of patients? hoW CAn We eThICAlly proVIde The TrAdITIonAl gold sTAndArd, or AlTernATIVe, operATIon To pATIenTs durIng The CoVId-19 CrIsIs? One such framework has formed the basis of healthcare ethics: initially proposed by Beauchamp and Childress in 1979, the four principles of patient care are beneficence, non-maleficence, respect for autonomy and justice. For those patients requiring acute treatment, an alternative to the conventional gold standard can be performed if its known inferiority is outweighed by the reduced risk of COVID-19-related complications.	./cache/cord-294184-jte9xx5e.txt	./txt/cord-294184-jte9xx5e.txt