Patient information
Informed consent
Informed consent for patients undergoing nose surgery.
- I hereby authorise Dr. Chinski and his surgical team to perform the operation known as rhinoplasty.
- The procedure has been fully explained to me by the surgeon, and I understand its nature and consequences. I understand that unforeseen complications may occur, such as swelling, bruising, bleeding, nerve sensitivity disorders, abnormal healing, infection, necrosis, skin discolouration and others.
- I acknowledge that, during the course of the operation, unforeseen conditions may require additional or different procedures from those previously agreed. I therefore authorise and request that the above-named surgeon, or whoever he designates, perform the procedures that are necessary and desirable in his professional judgement, including procedures such as pathology studies, X-rays, blood transfusions, etc. The authorisation granted shall extend to remedying conditions unknown to the surgeon at the start of the operation.
- I consent to the administration of general anaesthesia by an anaesthesia specialist designated by the surgeon.
- I am aware that the practice of medicine and surgery is not an exact science and I acknowledge that, although the surgeon has properly informed me of the desired result of the operation, guaranteeing such results is beyond his control.
- I consent to being photographed or filmed before, during and after treatment. This material is the property of the surgeon and may be published in scientific journals and/or shown for educational medical purposes.
- I authorise the surgeon, or whoever he designates, to carry out the necessary dressings and check-ups during the post-operative period.
- I agree to cooperate with the post-operative care indicated by the surgeon and his team until I am definitively discharged.
- I attest that I have not omitted or altered any information when stating my clinical and surgical history. I hereby confirm that I have read and understood the content of this consent.
Signature and printed name: ______________________________
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