Bridging Patient Autonomy with Surrogate Decision Making

Authors

• Victoria Schomer, Corewell Health East Resident
• Betty Ruan, Corewell Health East
• Roy Soto, Corewell Health East

Document Type

Conference Proceeding

Publication Date

10-18-2026

Abstract

A 71-year-old female with a complex medical history presented for esophagectomy, complicated by breakdown of the anastomosis and need for repair and decortication. After multiple intubations and subsequent extubations, patient verbalized desire to avoid future escalation of care. However, code status was not changed and as her condition declined, family opted to pursue resuscitative measures. She was ultimately re-intubated, underwent VV ECMO for 2 days, and eventually required tracheostomy and G-tube placement. She was then discharged to LTACH. We will discuss the foundational principles of bioethics, as well as the importance of capacity, informed consent, and next-of-kin decision makers.

Comments

American Society of Anesthesiologists, The Anesthesiology Meeting, October 16-20, 2026, San Diego, CA

Recommended Citation

Schomer V, Ruan B, Soto R. Bridging patient autonomy with surrogate decision making. Presented at: American Society of Anesthesiologists, The Anesthesiology Meeting; 2026 Oct 18; San Diego, CA. Available from: https://www.abstractsonline.com/pp8/#!/21448/presentation/9197