Ethical considerations regarding heart and lung transplantation and mechanical circulatory support during the COVID-19 pandemic: an ISHLT COVID-19 Task Force statement

Are M. Holm; Mandeep R. Mehra; Andrew Courtwright; Jeffrey Teuteberg; Stuart Sweet; Luciano Potena; Lianne G. Singer; Marta Farrero; Michael A. Shullo; Raymond Benza; Stephan Ensminger; Saima Aslam

doi:10.1016/j.healun.2020.04.019

Ethical considerations regarding heart and lung transplantation and mechanical circulatory support during the COVID-19 pandemic: an ISHLT COVID-19 Task Force statement

Are M. Holm, Mandeep R. Mehra, Andrew Courtwright, Jeffrey Teuteberg, Stuart Sweet, Luciano Potena, Lianne G. Singer, Marta Farrero, Michael A. Shullo, Raymond Benza, Stephan Ensminger, Saima Aslam

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32 Scopus citations

Abstract

To understand the challenges for thoracic transplantation and mechanical circulatory support during the current coronavirus disease 2019 pandemic, we propose separating the effects of the pandemic into 5 distinct stages from a healthcare system perspective. We discuss how the classical ethical principles of utility, justice, and efficiency may need to be adapted, and we give specific recommendations for thoracic transplantation and mechanical circulatory support centers to balance their clinical decisions and strategies for advanced heart and lung disease during the current pandemic.

Original language	English
Pages (from-to)	619-626
Number of pages	8
Journal	Journal of Heart and Lung Transplantation
Volume	39
Issue number	7
DOIs	https://doi.org/10.1016/j.healun.2020.04.019
State	Published - Jul 2020

Keywords

COVID-19
MCS
SARS-CoV-2
ethics
thoracic transplant

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10.1016/j.healun.2020.04.019

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Holm, A. M., Mehra, M. R., Courtwright, A., Teuteberg, J., Sweet, S., Potena, L., Singer, L. G., Farrero, M., Shullo, M. A., Benza, R., Ensminger, S., & Aslam, S. (2020). Ethical considerations regarding heart and lung transplantation and mechanical circulatory support during the COVID-19 pandemic: an ISHLT COVID-19 Task Force statement. Journal of Heart and Lung Transplantation, 39(7), 619-626. https://doi.org/10.1016/j.healun.2020.04.019

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title = "Ethical considerations regarding heart and lung transplantation and mechanical circulatory support during the COVID-19 pandemic: an ISHLT COVID-19 Task Force statement",

abstract = "To understand the challenges for thoracic transplantation and mechanical circulatory support during the current coronavirus disease 2019 pandemic, we propose separating the effects of the pandemic into 5 distinct stages from a healthcare system perspective. We discuss how the classical ethical principles of utility, justice, and efficiency may need to be adapted, and we give specific recommendations for thoracic transplantation and mechanical circulatory support centers to balance their clinical decisions and strategies for advanced heart and lung disease during the current pandemic.",

keywords = "COVID-19, MCS, SARS-CoV-2, ethics, thoracic transplant",

author = "Holm, {Are M.} and Mehra, {Mandeep R.} and Andrew Courtwright and Jeffrey Teuteberg and Stuart Sweet and Luciano Potena and Singer, {Lianne G.} and Marta Farrero and Shullo, {Michael A.} and Raymond Benza and Stephan Ensminger and Saima Aslam",

note = "Publisher Copyright: {\textcopyright} 2020 International Society for Heart and Lung Transplantation",

year = "2020",

month = jul,

doi = "10.1016/j.healun.2020.04.019",

language = "English",

volume = "39",

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journal = "Journal of Heart and Lung Transplantation",

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Holm, AM, Mehra, MR, Courtwright, A, Teuteberg, J, Sweet, S, Potena, L, Singer, LG, Farrero, M, Shullo, MA, Benza, R, Ensminger, S & Aslam, S 2020, 'Ethical considerations regarding heart and lung transplantation and mechanical circulatory support during the COVID-19 pandemic: an ISHLT COVID-19 Task Force statement', Journal of Heart and Lung Transplantation, vol. 39, no. 7, pp. 619-626. https://doi.org/10.1016/j.healun.2020.04.019

TY - JOUR

T1 - Ethical considerations regarding heart and lung transplantation and mechanical circulatory support during the COVID-19 pandemic

T2 - an ISHLT COVID-19 Task Force statement

AU - Holm, Are M.

AU - Mehra, Mandeep R.

AU - Courtwright, Andrew

AU - Teuteberg, Jeffrey

AU - Sweet, Stuart

AU - Potena, Luciano

AU - Singer, Lianne G.

AU - Farrero, Marta

AU - Shullo, Michael A.

AU - Benza, Raymond

AU - Ensminger, Stephan

AU - Aslam, Saima

PY - 2020/7

Y1 - 2020/7

N2 - To understand the challenges for thoracic transplantation and mechanical circulatory support during the current coronavirus disease 2019 pandemic, we propose separating the effects of the pandemic into 5 distinct stages from a healthcare system perspective. We discuss how the classical ethical principles of utility, justice, and efficiency may need to be adapted, and we give specific recommendations for thoracic transplantation and mechanical circulatory support centers to balance their clinical decisions and strategies for advanced heart and lung disease during the current pandemic.

AB - To understand the challenges for thoracic transplantation and mechanical circulatory support during the current coronavirus disease 2019 pandemic, we propose separating the effects of the pandemic into 5 distinct stages from a healthcare system perspective. We discuss how the classical ethical principles of utility, justice, and efficiency may need to be adapted, and we give specific recommendations for thoracic transplantation and mechanical circulatory support centers to balance their clinical decisions and strategies for advanced heart and lung disease during the current pandemic.

KW - COVID-19

KW - MCS

KW - SARS-CoV-2

KW - ethics

KW - thoracic transplant

UR - http://www.scopus.com/inward/record.url?scp=85085698687&partnerID=8YFLogxK

U2 - 10.1016/j.healun.2020.04.019

DO - 10.1016/j.healun.2020.04.019

M3 - Editorial

C2 - 32505492

AN - SCOPUS:85085698687

SN - 1053-2498

VL - 39

SP - 619

EP - 626

JO - Journal of Heart and Lung Transplantation

JF - Journal of Heart and Lung Transplantation

IS - 7

ER -

Ethical considerations regarding heart and lung transplantation and mechanical circulatory support during the COVID-19 pandemic: an ISHLT COVID-19 Task Force statement

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Keywords

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