کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
5987174 | 1578219 | 2016 | 4 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Compassionate deactivation of ventricular assist devices in pediatric patients
ترجمه فارسی عنوان
غیر فعال بودن دستگاه های کمک کننده بطنی در بیماران کودکان
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کلمات کلیدی
اطفال، کمک بطنی، مراقبت تسکین دهنده، حمایت مکانیکی، کیفیت زندگی،
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
کاردیولوژی و پزشکی قلب و عروق
چکیده انگلیسی
Despite greatly improved survival in pediatric patients with end-stage heart failure through the use of ventricular assist devices (VADs), heart failure ultimately remains a life-threatening disease with a significant symptom burden. With increased demand for donor organs, liberalizing the boundaries of case complexity, and the introduction of destination therapy in children, more children can be expected to die while on mechanical support. Despite this trend, guidelines on the ethical and pragmatic issues of compassionate deactivation of VAD support in children are strikingly absent. As VAD support for pediatric patients increases in frequency, the pediatric heart failure and palliative care communities must work toward establishing guidelines to clarify the complex issues surrounding compassionate deactivation. Patient, family and clinician attitudes must be ascertained and education regarding the psychological, legal and ethical issues should be provided. Furthermore, pediatric-specific planning documents for use before VAD implantation as well as deactivation checklists should be developed to assist with decision-making at critical points during the illness trajectory. Herein we review the relevant literature regarding compassionate deactivation with a specific focus on issues related to children.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Journal of Heart and Lung Transplantation - Volume 35, Issue 5, May 2016, Pages 564-567
Journal: The Journal of Heart and Lung Transplantation - Volume 35, Issue 5, May 2016, Pages 564-567
نویسندگان
Seth A. MD, David M. MD, Daniel MD, Harvey J. MD, Barbara PhD, Sushma MD, David PhD, David N. MD, Beth D. MD,