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

doi:10.1177/2150135113509820

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

Section of Congenital Surgery

Research output: Contribution to journal › Article › peer-review

5 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 language	English
Pages (from-to)	311-314
Number of pages	4
Journal	World Journal for Pediatric and Congenital Heart Surgery
Volume	5
Issue number	2
DOIs	https://doi.org/10.1177/2150135113509820
State	Published - Apr 2014

Keywords

ECMO
circulatory assistance
ethics
heart transplantation
intensive care

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10.1177/2150135113509820

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Shankar, V., Costello, J. P., Peer, S. M., Klugman, D., & Nath, D. S. (2014). 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. World Journal for Pediatric and Congenital Heart Surgery, 5(2), 311-314. https://doi.org/10.1177/2150135113509820

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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.",

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Shankar, V, Costello, JP, Peer, SM, Klugman, D & Nath, DS 2014, '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', World Journal for Pediatric and Congenital Heart Surgery, vol. 5, no. 2, pp. 311-314. https://doi.org/10.1177/2150135113509820

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. / Shankar, Venkat; Costello, John P.; Peer, Syed M. et al.
In: World Journal for Pediatric and Congenital Heart Surgery, Vol. 5, No. 2, 04.2014, p. 311-314.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Ethical Dilemma

T2 - Offering Short-Term Extracorporeal Membrane Oxygenation Support for Terminally Ill Children Who Are Not Candidates for Long-Term Mechanical Circulatory Support Or Heart Transplantation

AU - Shankar, Venkat

AU - Costello, John P.

AU - Peer, Syed M.

AU - Klugman, Darren

AU - Nath, Dilip S.

PY - 2014/4

Y1 - 2014/4

N2 - 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.

AB - 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.

KW - ECMO

KW - circulatory assistance

KW - ethics

KW - heart transplantation

KW - intensive care

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AN - SCOPUS:84922393014

SN - 2150-1351

VL - 5

SP - 311

EP - 314

JO - World Journal for Pediatric and Congenital Heart Surgery

JF - World Journal for Pediatric and Congenital Heart Surgery

IS - 2

ER -

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

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