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

Surgery

Research output: Chapter in Book/Report/Conference proceeding › Chapter

7 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 (US)
Title of host publication	World journal for pediatric & congenital heart surgery
Place of Publication	United States
Publisher	Shankar,Venkat. Department of Critical Care Medicine, Children's National Medical Center, Washington, DC, USA.
Pages	311-314
Number of pages	4
ISBN (Print)	2150-136X (Electronic)\r2150-1351 (Linking)
DOIs	https://doi.org/10.1177/2150135113509820
State	Published - 2014

Publication series

Name	World journal for pediatric & congenital heart surgery
Volume	5

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

*Cardiomyopathies/th [Therapy]
*Extracorporeal Membrane Oxygenation/es [Ethics]
*Heart Failure/th [Therapy]
*Medical Futility/es [Ethics]
*Terminal Care/es [Ethics]
Adolescent
Anthracyclines/ae [Adverse Effects]
Assisted Circulation
Cardiomyopathies/ci [Chemically Induced]
Disease Progression
Female
Heart Transplantation
Humans
Patient Transfer
Precursor Cell Lymphoblastic Leukemia-Lymphoma/dt
Recurrence

Publisher link

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. In World journal for pediatric & congenital heart surgery (pp. 311-314). (World journal for pediatric & congenital heart surgery; Vol. 5). Shankar,Venkat. Department of Critical Care Medicine, Children's National Medical Center, Washington, DC, USA.. 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.
World journal for pediatric & congenital heart surgery. United States: Shankar,Venkat. Department of Critical Care Medicine, Children's National Medical Center, Washington, DC, USA., 2014. p. 311-314 (World journal for pediatric & congenital heart surgery; Vol. 5).

Research output: Chapter in Book/Report/Conference proceeding › Chapter

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. in World journal for pediatric & congenital heart surgery. World journal for pediatric & congenital heart surgery, vol. 5, Shankar,Venkat. Department of Critical Care Medicine, Children's National Medical Center, Washington, DC, USA., United States, pp. 311-314. https://doi.org/10.1177/2150135113509820

Shankar V, Costello JP, Peer SM, Klugman D, Nath DS. 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. In World journal for pediatric & congenital heart surgery. United States: Shankar,Venkat. Department of Critical Care Medicine, Children's National Medical Center, Washington, DC, USA. 2014. p. 311-314. (World journal for pediatric & congenital heart surgery). doi: 10.1177/2150135113509820

Shankar, Venkat ; Costello, John P ; Peer, Syed M et al. / 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 & congenital heart surgery. United States : Shankar,Venkat. Department of Critical Care Medicine, Children's National Medical Center, Washington, DC, USA., 2014. pp. 311-314 (World journal for pediatric & congenital heart surgery).

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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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AU - Klugman, Darren

AU - Nath, Dilip S

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KW - Heart Failure/th [Therapy]

KW - Medical Futility/es [Ethics]

KW - Terminal Care/es [Ethics]

KW - Adolescent

KW - Anthracyclines/ae [Adverse Effects]

KW - Assisted Circulation

KW - Cardiomyopathies/ci [Chemically Induced]

KW - Disease Progression

KW - Female

KW - Heart Transplantation

KW - Humans

KW - Patient Transfer

KW - Precursor Cell Lymphoblastic Leukemia-Lymphoma/dt

KW - Recurrence

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BT - World journal for pediatric & congenital heart surgery

PB - Shankar,Venkat. Department of Critical Care Medicine, Children's National Medical Center, Washington, DC, USA.

CY - United States

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.

Abstract

Publication series

UN SDGs

Keywords

Publisher link

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