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

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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. © 2013, SAGE Publications. All rights reserved.

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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. World Journal for Pediatric and Congenital Heart Surgery, 5(2), 311–314. https://doi.org/10.1177/2150135113509820

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