Ethical issues raised by LVADs and Mr. T's story

Journal of Clinical Ethics

Volumn 14, Issue 3, 2003, Pages 201-207

  Robinson, Ellen M ^a   Jurchak, Martha ^b  

^a MASSACHUSETTS GENERAL HOSPITAL   (United States)

^b BRIGHAM AND WOMEN S HOSPITAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CASE REPORT; HEALTH CARE PLANNING; HEART ASSIST DEVICE; HEART FAILURE; HEART INFARCTION; HEART LEFT VENTRICLE PERFORMANCE; HEART TRANSPLANTATION; HUMAN; INFORMED CONSENT; INTENSIVE CARE; MALE; MEDICAL ETHICS; PATIENT CARE; PATIENT COMPLIANCE; REVIEW; SALVAGE THERAPY; TERMINAL CARE; TERMINAL DISEASE; TREATMENT INDICATION; ARTICLE; BIOETHICS AND PROFESSIONAL ETHICS; CEREBROVASCULAR ACCIDENT; DECISION MAKING; ETHICS; HEALTH CARE AND PUBLIC HEALTH; MIDDLE AGED; PROFESSIONAL STANDARD; UNITED STATES;

BIOETHICS AND PROFESSIONAL ETHICS; HEALTH CARE AND PUBLIC HEALTH;

BOSTON; CEREBROVASCULAR ACCIDENT; DECISION MAKING; ETHICS COMMITTEES, CLINICAL; HEART-ASSIST DEVICES; HUMANS; MALE; MIDDLE AGED; MYOCARDIAL INFARCTION;

EID: 2442672001     PISSN: 10467890     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Review

References (26)

1. E.A. Rose et al. (the REMATCH Study Group), "Long-Term Use of a Left Ventricular Assist Device for End-Stage Heart Failure," New England Journal of Medicine 345, no. 20 (2001): 1435-43.
2. K. L. Grady et al., "Predictors of Quality of Life at 1 Month After Implantation of a Left Ventricular Assist Device," American Journal of Critical Care 11, no. 4 (2002): 345-52; A.J. Moskowitz et al., "Quality of Life with an Implanted LeftVentricular Assist Device," Annals of Thoracic Surgery 64 (1997): 1764-9; L.S. Savage and C. Canody, "Life with a Left Ventricular Assist Device," American Journal of Critical Care 8, no. 5 (1999): 340-3; K.L. Grady et al., "Improvements in Quality of Life Outcomes Two Weeks After LVAD Implantation," Journal of Heart Lung Transplantation 20 (2001): 657-669.
3. K. L. Grady et al., "Predictors of Quality of Life at 1 Month After Implantation of a Left Ventricular Assist Device," American Journal of Critical Care 11, no. 4 (2002): 345-52; A.J. Moskowitz et al., "Quality of Life with an Implanted LeftVentricular Assist Device," Annals of Thoracic Surgery 64 (1997): 1764-9; L.S. Savage and C. Canody, "Life with a Left Ventricular Assist Device," American Journal of Critical Care 8, no. 5 (1999): 340-3; K.L. Grady et al., "Improvements in Quality of Life Outcomes Two Weeks After LVAD Implantation," Journal of Heart Lung Transplantation 20 (2001): 657-669.
4. K. L. Grady et al., "Predictors of Quality of Life at 1 Month After Implantation of a Left Ventricular Assist Device," American Journal of Critical Care 11, no. 4 (2002): 345-52; A.J. Moskowitz et al., "Quality of Life with an Implanted LeftVentricular Assist Device," Annals of Thoracic Surgery 64 (1997): 1764-9; L.S. Savage and C. Canody, "Life with a Left Ventricular Assist Device," American Journal of Critical Care 8, no. 5 (1999): 340-3; K.L. Grady et al., "Improvements in Quality of Life Outcomes Two Weeks After LVAD Implantation," Journal of Heart Lung Transplantation 20 (2001): 657-669.
5. K. L. Grady et al., "Predictors of Quality of Life at 1 Month After Implantation of a Left Ventricular Assist Device," American Journal of Critical Care 11, no. 4 (2002): 345-52; A.J. Moskowitz et al., "Quality of Life with an Implanted LeftVentricular Assist Device," Annals of Thoracic Surgery 64 (1997): 1764-9; L.S. Savage and C. Canody, "Life with a Left Ventricular Assist Device," American Journal of Critical Care 8, no. 5 (1999): 340-3; K.L. Grady et al., "Improvements in Quality of Life Outcomes Two Weeks After LVAD Implantation," Journal of Heart Lung Transplantation 20 (2001): 657-669.
6. V.R. Fuchs, "The Growing Demand for Medical Care," New England Journal of Medicine 279, no. 4 (1968): 190-5.
7. Ibid.; D. Callahan, The Troubled Dream of Life: Living with Mortality (New York: Simon & Schuster, 1993), 59-62
8. Ibid.; D. Callahan, The Troubled Dream of Life: Living with Mortality (New York: Simon & Schuster, 1993), 59-62
9. B.A. Koenig, "The Technological Imperative in Medical Practice: The Social Creation of a Routine Treatment," in Biomedicine Examined, ed. M.M. Lock and D.R. Gordon (Boston: Kluwer, 1988), 465-96; L. Noah, "Informed Consent and the Elusive Dichotomy between Standard and Experimental Therapy," American Journal of Law and Medicine 28 (2002): 361-408.
10. B.A. Koenig, "The Technological Imperative in Medical Practice: The Social Creation of a Routine Treatment," in Biomedicine Examined, ed. M.M. Lock and D.R. Gordon (Boston: Kluwer, 1988), 465-96; L. Noah, "Informed Consent and the Elusive Dichotomy between Standard and Experimental Therapy," American Journal of Law and Medicine 28 (2002): 361-408.
11. J. Cassell et al., "Surgeons, Intensivists, and the Covenant of Care: Administrative Models and Values Affecting Care at the End of Life," Critical Care Medicine 31, no. 5 (2003) 1551-9.
12. Koenig, see note 5 above.
13. R.C. Fox, Experiment Perilous: Physicians and Patients Facing the Unknown (Philadelphia, Pa.: University of Pennsylvania Press, 1959), 89-142.
14. Koenig, see note 5 above.
15. G.J. Agich, "Ethics and Innovation in Medicine," Journal of Medical Ethics 27 (2001): 295-6.
16. I b i d.
17. A.L. Caplan, "Kidneys, Ethics and Politics: Lessons of the ESRD Experience," Journal of Health, Politics, Policy and Law 6 (1980): 488-503.
18. G.J. Annas, Standard of Care: The Law of American Bioethics (New York: Oxford University Press, 1993), 202-5.
19. T.E. Finucane, "How Gravely Ill Becomes Dying: A Key to End of Life Care," Journal of the American Medical Association 282, no. 17 (1999) 1670-2; W.G. Kuschner, "Lessons Learned from the Terminally, Critically Ill Patient Who Demands to Live as Long as Possible," Medscape General Medicine, 12 October 1999 〈www.medscape.com/Medscape/GeneralMedicine/ journal/1999/vol.n10/mgm1012.kusc/mgm1001.html〉.
20. T.E. Finucane, "How Gravely Ill Becomes Dying: A Key to End of Life Care," Journal of the American Medical Association 282, no. 17 (1999) 1670-2; W.G. Kuschner, "Lessons Learned from the Terminally, Critically Ill Patient Who Demands to Live as Long as Possible," Medscape General Medicine, 12 October 1999 〈www.medscape.com/Medscape/GeneralMedicine/ journal/1999/vol.n10/mgm1012.kusc/mgm1001.html〉.
21. Koenig, see note 5 above.
22. D. Callahan, "Living and Dying with Medical Technology," Critical Care Medicine 31, no. 5 (2003): S344-6.
23. Rose, see note 1 above.
24. G. Webster and F. Baylis, "Moral Residue," in Margin of Error: The Necessity, Inevitability, and Ethics of Mistakes in Medicine, ed. S.B. Rubin and L. Zoloth (Hagerstown, Md.: University Publishing Group, 2000), 217-30.
25. E. Bernal, "Errors in Ethics Consultation," in Margin of Error, ibid., pp. 255-72.
26. Ibid., 8.