- Patient autonomy
- Nonmaleficence and
An example: a woman whose preop history I was recording asked me if she would be given the drug Versed (generic name: midazolam) without being told before her surgery. I told her that I personally never administer it without making sure a patient wants to receive it and knows of possible effects such as memory loss of events around the time of the drug's administration. Very rarely, patients report experiences with this drug that are so awful for them that there's even a website on which hundreds of vitriolic comments (including some exceedingly ignorant and bigoted ones) against anesthesiologists have been posted, one even comparing us all to people who commit date-rape. While I try to be as thorough as I can about explaining my anesthetic plan, I do think it's unrealistic, not always useful, and often downright impractical for us to give patients a full run-down on every single drug we administer as part of the anesthetic.