Published in:
01-10-2009 | Editorial
The ‘Consent to Research’ paradigm in critical care: challenges and potential solutions
Authors:
Karen E. A. Burns, Celia Zubrinich, John Marshall, Deborah Cook
Published in:
Intensive Care Medicine
|
Issue 10/2009
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Excerpt
Clinical research in the intensive care unit (ICU) poses unique challenges. Investigators must operationalize protocols under emergency conditions, recruit patients within narrow time windows, study illnesses with high morbidity and mortality, and obtain consent for enrolment of critically ill patients who, by virtue of their illness, usually lack autonomous decision-making capacity. Difficulties in obtaining informed consent may reduce opportunities for critically ill patients to participate in research, prolong study implementation, limit the generalizability of study results, and delay identification of potentially effective, ineffective, and harmful interventions. …