Ethical Issues Surrounding the Use of Post Cardiotomy ECMO
- 21 Downloads
There are myriad ethical issues associated with the initiation, maintenance, and termination of ECMO in post-cardiotomy patients. As ECMO becomes more commonly implemented, it is important to consider many of these ethical issues in consenting, counseling, and comforting families who are struggling to grasp the technical, medical and ethical issues that this technology presents.
KeywordsPost cardiotomy ECMO Medical ethics Congenital heart disease Futility Informed consent Compassion fatigue
- 5.ELSO. Extracorporeal Life Support Organization. https://www.elso.org/Resources/Guidelines.aspx; accessed, January 7, 2020
- 12.Polimenakos AC, Wojtyla P, Smith PJ, Rizzo V, Nater M, El Zein CF, et al. Post-cardiotomy extracorporeal cardiopulmonary resuscitation in neonates with complex single ventricle: analysis of outcomes. Euro Assoc Cardio-Thorac Surg. 2011;40(6):1396–405.Google Scholar
- 16.Berg JW, Appelbaum PS, Lidz CW, Parker LS. Informed consent: legal theory and clinical practice. 2nd ed. New York: Oxford University Press; 2001.Google Scholar
- 22.Aristotle. The Nicomachean ethics, book III. ( Sir David Ross, trans). London: Oxford University Press, 1954.Google Scholar
- 26.Zakhary B, Shekar K, Diaz R, Badulak J, Johnston L, Roeleveld PP, et al. Extracorporeal life support organization (ELSO) ECMOed taskforce. Position paper on global extracorporeal membrane oxygenation education and educational agenda for the future: A statement from the extracorporeal life support organization ECMOed taskforce. Crit Care Med. 2019. https://doi.org/10.1097/CCM.0000000000004158. [Epub ahead of print].
- 27.King NM, Henderson G. Treatments of last resort: informed consent and the diffusion of new technology. Mercer L Rev. 1990-1991;42:1001–50.Google Scholar
- 28.Fuchs VR. The future of health economics. J Health Econ. 2000;19:141–57.Google Scholar
- 29.Sperling SK. Oregon’s Death with dignity act. JAMA Oncol. 2018;1:4:748.Google Scholar