Ethical Dilemma: Offering Short-Term Extracorporeal Membrane Oxygenation Support for Terminally Ill Children Who Are Not Candidates for Long-Term Mechanical Circulatory Support Or Heart Transplantation

Venkat Shankar, John P. Costello, Syed M. Peer, Darren Klugman, Dilip S. Nath

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

The use of extracorporeal membrane oxygenation (ECMO) in terminally ill pediatric patients who are not candidates for long-term mechanical circulatory support or heart transplantation requires careful deliberation. We present the case of a 16-year-old female with a relapse of acute lymphoid leukemia and acute-on-chronic cardiomyopathy who received short-term ECMO therapy. In addition, we highlight several ethical considerations that were crucial to this patient's family-centered care and demonstrate that this therapy can be accomplished in a manner that respects patient autonomy and family wishes.

Original languageEnglish
Pages (from-to)311-314
Number of pages4
JournalWorld Journal for Pediatric and Congenital Heart Surgery
Volume5
Issue number2
DOIs
StatePublished - Apr 2014
Externally publishedYes

Keywords

  • ECMO
  • circulatory assistance
  • ethics
  • heart transplantation
  • intensive care

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