Extracorporeal membrane oxygenation in adults: A brief review and ethical considerations for nonspecialist health providers and hospitalists

Journal of Hospital Medicine

Volumn 9, Issue 12, 2014, Pages 808-813

  Meltzer, Ellen C ^a   Ivascu, Natalia S ^a   Acres, Cathleen A ^a   Stark, Meredith ^a   Kirkpatrick, James N ^b   Paul, Subroto ^a   Sedrakyan, Art ^a   Fins, Joseph J ^a  

^a WEILL CORNELL MEDICAL COLLEGE   (United States)

^b UNIVERSITY OF PENNSYLVANIA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ANTICOAGULANT AGENT;

ADULT RESPIRATORY DISTRESS SYNDROME; ARTICLE; ARTIFICIAL VENTILATION; BLEEDING; CARDIOGENIC SHOCK; CEREBROVASCULAR ACCIDENT; CLINICAL DECISION MAKING; EXTRACORPOREAL MEMBRANE OXYGENATION DEVICE; EXTRACORPOREAL OXYGENATION; HEALTH CARE PERSONNEL; HEART ARREST; HEART FAILURE; HUMAN; INFECTIOUS COMPLICATION; INFORMED CONSENT; LIVING WILL; MEDICAL ETHICS; MEDICAL STAFF; PATIENT AUTONOMY; PATIENT PREFERENCE; PRIORITY JOURNAL; RESPIRATORY FAILURE; RESUSCITATION; TERMINAL CARE; THERAPY EFFECT; THROMBOEMBOLISM; THROMBOSIS; TREATMENT WITHDRAWAL; VENOARTERIAL EXTRACORPOREAL MEMBRANE OXYGENATION; VENOVENOUS EXTRACORPOREAL MEMBRANE OXYGENATION; ADULT; ETHICS; RESPIRATORY INSUFFICIENCY; RETROSPECTIVE STUDY; UTILIZATION;

ADULT; EXTRACORPOREAL MEMBRANE OXYGENATION; HEALTH PERSONNEL; HEART FAILURE; HOSPITALISTS; HUMANS; RESPIRATORY INSUFFICIENCY; RETROSPECTIVE STUDIES;

EID: 84913614327     PISSN: 15535592     EISSN: 15535606     Source Type: Journal    
DOI: 10.1002/jhm.2262     Document Type: Article

References (29)

1. Bartlett RH, Gattinoni L. Current status of extracorporeal life support (ECMO) for cardiopulmonary failure. Minerva Anestesiol. 2010;76(7):534-540.
2. Fou AA. John H. Gibbon . The first 20 years of the heart-lung machine. Tex Heart Inst J. 1997;24(1):1-8.
3. Sidebotham D, Allen SJ, McGeorge A, Ibbott N, Willcox T. Venovenous extracorporeal membrane oxygenation in adults: practical aspects of circuits, cannulae, and procedures. J Cardiothorac Vasc Anesth. 2012;26(5):893-909.
4. Anderson H III, Steimle C, Shapiro M, et al. Extracorporeal life support for adult cardiorespiratory failure. Surgery. 1993;114(2):161-172; discussion 172-163.
5. Brodie D, Bacchetta M. Extracorporeal membrane oxygenation for ARDS in adults. N Engl J Med. 2011;365(20):1905-1914.
6. Gaffney AM, Wildhirt SM, Griffin MJ, Annich GM, Radomski MW. Extracorporeal life support. BMJ. 2010;341:c5317.
7. Sidebotham D, McGeorge A, McGuinness S, Edwards M, Willcox T, Beca J. Extracorporeal membrane oxygenation for treating severe cardiac and respiratory failure in adults: part 2-technical considerations. J Cardiothorac Vasc Anesth. 2010;24(1):164-172.
8. Ziemba EA, John R. Mechanical circulatory support for bridge to decision: which device and when to decide. J Card Surg. 2010;25(4):425-433.
9. Meltzer EC, Ivascu NS, Fins JJ. DNR on ECMO: a paradox worth exploring. J Clin Ethics. 2013;25(1):13-19.
10. Peek GJ, Elbourne D, Mugford M, et al. Randomised controlled trial and parallel economic evaluation of conventional ventilatory support versus extracorporeal membrane oxygenation for severe adult respiratory failure (CESAR). Health Technol Assess. 2010;14(35):1-46.
11. Davies A, Jones D, Bailey M, et al. Extracorporeal membrane oxygenation for 2009 influenza A (H1N1) acute respiratory distress syndrome. JAMA. 2009;302(17):1888-1895.
12. Chen YS, Lin JW, Yu HY, et al. Cardiopulmonary resuscitation with assisted extracorporeal life-support versus conventional cardiopulmonary resuscitation in adults with in-hospital cardiac arrest: an observational study and propensity analysis. Lancet. 2008;372(9638):554-561.
13. Hsu PS, Chen JL, Hong GJ, et al. Extracorporeal membrane oxygenation for refractory cardiogenic shock after cardiac surgery: predictors of early mortality and outcome from 51 adult patients. Eur J Cardiothorac Surg. 2010;37(2):328-333.
14. Bakhtiary F, Keller H, Dogan S, et al. Venoarterial extracorporeal membrane oxygenation for treatment of cardiogenic shock: clinical experiences in 45 adult patients. J Thorac Cardiovasc Surg. 2008;135(2):382-388.
15. Combes A, Leprince P, Luyt CE, et al. Outcomes and long-term quality-of-life of patients supported by extracorporeal membrane oxygenation for refractory cardiogenic shock. Crit Care Med. 2008;36(5):1404-1411.
16. Cypel M, Keshavjee S. Extracorporeal life support as a bridge to lung transplantation. Clin Chest Med. 2011;32(2):245-251.
17. Extracoporeal Life Support Organization. General Guidelines for all ECLS Cases. 2012; http://www.elsonet.org/. Accessed August 5, 2014.
18. de Perrot M, Granton JT, McRae K, et al. Impact of extracorporeal life support on outcome in patients with idiopathic pulmonary arterial hypertension awaiting lung transplantation. J Heart Lung Transplant. 2011;30(9):997-1002.
19. Garcia JP, Iacono A, Kon ZN, Griffith BP. Ambulatory extracorporeal membrane oxygenation: a new approach for bridge-to-lung transplantation. J Thorac Cardiovasc Surg. 2010;139(6):e137-e139.
20. Garcia JP, Kon ZN, Evans C, et al. Ambulatory veno-venous extracorporeal membrane oxygenation: innovation and pitfalls. J Thorac Cardiovasc Surg. 2011;142(4):755-761.
21. Extracoporeal Life Support Organization. General Guidelines for all ECLS Cases. 2012; http://www.elsonet.org/. Accessed August 5, 2014.
22. Extracorporeal Life Support Organization. ECLS Registry Report United States Summary. August 2014; http://www.elsonet.org/. Accessed August 5, 2014.
23. Beauchamp TL, Childress JF. Principles of Biomedical Ethics. 6th ed. New York, NY: Oxford University Press; 2009.
24. Allen LA, Stevenson LW, Grady KL, et al. Decision making in advanced heart failure: a scientific statement from the American Heart Association. Circulation. 2012;125(15):1928-1952.
25. Ahronheim JC, Moreno JD, Zuckerman C. Ethics in Clinical Practice. 2nd ed. Sudbury, MA: Jones and Bartlett; 2005.
26. Ballentine JM. Pacemaker and defibrillator deactivation in competent hospice patients: an ethical consideration. Am J Hosp Palliat Care. 2005;22(1):14-19.
27. Ventres W, Nichter M, Reed R, Frankel R. Limitation of medical care: an ethnographic analysis. J Clin Ethics. 1993;4(2):134-145.
28. Fins JJ. A Palliative Ethic of Care: Clinical Wisdom at Life's End. Sudbury, MA: Jones and Bartlett; 2006.
29. Meltzer EC, Ivascu NS, Acres CA, Stark M, Furman RR, Fins JJ. Extracorporeal membrane oxygenation as a bridge to chemotherapy in an orthodox Jewish patient. Oncologist. 2014;19(9):985-989.