Seeking patients' consent in anaesthesiology: consent in clinical practice "I wish my life and decisions to depend on myself, not on external forces of whatever kind. I wish to be the instrument of my own, not other men's act of will. I wish to be a subject, not an object; to be moved by reasons, by conscious purposes which are my own, not by causes which affect me, as it were, from outside. I wish to be somebody, not nobody -a doer, deciding, not being decided for, self-directed and not acted

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... pon by external nature or by other men". Isaiah Berlin, 1969 1 involved, available alternatives, the relative risks and complications of alternatives, costs, and the role of the anaesthesiologist is required. Particular reference to the training of students is mandatory. Separate consent is required for all research purposes.