"As an Anesthesiologist who holds to the AMA Principles of Medical Ethics, I know that I have an ethical responsibility to my patients, my colleagues, my employer, and myself. I also know that the area of care we provide often operates in the 'gray' where institutional policies are concerned. A few months ago, we had a patient who needed unanticipated pulmonary artery catheter monitoring, and waiting until the patient could give consent wasn't an option because it could have resulted in harm to the patient. Typically, informed consent is important and required, but when a patient is under anesthesia care, they can't consent. We ended up making a life-saving decision for that patient, and I slept well that night knowing that."