Bioethical Considerations in Perioperative Orthopedic Medicine

  • Seth A. WaldmanEmail author
  • Douglas S. T. Green
  • C. Ronald MacKenzie


Ethics is the study and application of moral reasoning in human endeavor. As a concept, morality references a set of behaviors that govern how one should act in given circumstances. Ethics therefore asks “What ought to be done” in given situations. Medical ethics, as a subdiscipline, is focused on such reasoning in healthcare. Arising over the last half century as a consequence of advances in medical knowledge and technology, medical ethics has become a distinct specialty with its own journals, textbooks, and conferences. At the local level, ethics committees help institutions and their practitioners confront the formidable array of ethically charged dilemmas arising in the everyday practice of medicine. While the domain of perioperative medicine exits within a complex medical ecosystem, it does have unique bioethical features. This chapter will serve as a review of the basic principles of bioethics focusing on challenges arising in the setting of surgery.


Bioethics Autonomy Justice Beneficence Nonmaleficence Professional duty Informed consent Advanced directive Competency and capacity 


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Seth A. Waldman
    • 1
    Email author
  • Douglas S. T. Green
    • 2
  • C. Ronald MacKenzie
    • 3
  1. 1.Division of Pain Management, Department of AnesthesiologyHospital for Special Surgery, Weill Cornell MedicineNew YorkUSA
  2. 2.Department of AnesthesiologyHospital for Special Surgery, Weill Cornell MedicineNew YorkUSA
  3. 3.Departments of Rheumatology and Medicine the Hospital for Special Surgery Weill Cornell MedicineNew YorkUSA

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