This is the original graphic before I simplified it. Pale blue lines represent lowest risk of cross reactivity.
Nicholas Chrimes
@chrimesy.com
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Anaesthetist | Creator Vortex Approach | Co-founder Safe Airway Society | Director Universal Airway (PUMA) Guidelines | ANZCA/ASA/NZSA Airway SIG Executive Member VortexApproach.org UniversalAirway.org SafeAirwaySociety.org EZDrugID.org
![Merely giving the patient
information, rather than expert guidance, may produce
suboptimal decisions and unnecessary stress [21].
Preserving patient autonomy is achieved by ensuring a
patient’s care aligns with their personal values. Whether any
outcome constitutes a material risk to a particular individual
is influenced by an array of factors, including personality;
experience; culture; age; sex; career; and lifestyle. It is
important that the anaesthetist has the ability to recognise
when patient values and priorities differ from their own.
Determining this essentially requires a reversal of the flow of
information; rather than providing information so that the
patient can make decisions, the emphasis should be on
acquiring information so that the clinician can make
management decisions in line with the patient’s stated
values. This information may be derived during the consent
process, elsewhere in the patient consultation or from other
sources.](https://cdn.bsky.app/img/feed_thumbnail/plain/did:plc:zbaj5jk7jtux3cccy6owpofu/bafkreibb3ny4wfkeil7jwzhwrwjz6v4nbet4fdnwuhfa6iimlvrssy7fjm)
![rpretive model´ [23] aligns with anaesthetic
care as it describes a circumstance where the patient is often
unaware of the relevant information and how their values
might affect the delivery of care. It allows the clinician to
determine the vulnerabilities and concerns of an individual
and then use their expertise to deliver the most appropriate
care, augmenting rather than diminishing patient
autonomy. This is consistent with the concept of autonomy
as a multidimensional capacity, requiring not only the
cognitive ability to make rational decisions but additional
aspects such as understanding, intentionality and freedom
from external constraints, which the patient may require
support from others to attain](https://cdn.bsky.app/img/feed_thumbnail/plain/did:plc:zbaj5jk7jtux3cccy6owpofu/bafkreiftrspmz2pzputq3ff3cfgcsmxk6farr2fy2n3quhgx74lc5jdvsq)
