کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5954713 1173320 2014 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Ethical Dilemmas Encountered With the Use of Extracorporeal Membrane Oxygenation in Adults
ترجمه فارسی عنوان
معضلات اخلاقی با استفاده از اکسیژن سازی غشاء اضافی در بزرگسالان مواجه می شوند
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
چکیده انگلیسی
Extracorporeal membrane oxygenation (ECMO) can serve as a bridge to recovery in cases of acute reversible illness, a bridge to transplantation in circumstances of irreversible cardiac or respiratory failure, a bridge to ventricular assist device therapy in select cases of cardiac failure, or a bridge to decision when the prognosis remains uncertain. Recent advances in ECMO technology that allow for prolonged support with decreased complications, the development of mobile ECMO teams, the rapidity of initiation, and the growing body of evidence, much of which remains controversial, have led to a significant increase in the use of ECMO worldwide. This increasing use of a technology that is not a destination device in itself introduces many ethical dilemmas specific to this technology. In this article, we explore some of the ethical issues inherent in the decisions surrounding the initiation and withdrawal of ECMO by raising key questions and providing a framework for clinicians. We will address extracorporeal cardiopulmonary resuscitation, the inability to bridge a patient to transplant or recovery-the so-called “bridge to nowhere”-and the significance of resuscitation preferences in the setting of continual extracorporeal circulatory support.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Chest - Volume 145, Issue 4, April 2014, Pages 876-882
نویسندگان
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