Ethical considerations regarding heart and lung transplantation and mechanical circulatory support during the COVID-19 pandemic: an ISHLT COVID-19 Task Force statement

To understand the challenges for thoracic transplantation and mechanical circulatory support during the current coronavirus disease 2019 pandemic, we propose separating the effects of the pandemic into 5 distinct stages from a healthcare system perspective. We discuss how the classical ethical princ...

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Detalles Bibliográficos
Autores principales: Holm, Are M., Mehra, Mandeep R., Courtwright, Andrew, Teuteberg, Jeffrey, Sweet, Stuart, Potena, Luciano, Singer, Lianne G., Farrero, Marta, Shullo, Michael A., Benza, Raymond, Ensminger, Stephan, Aslam, Saima
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Society for Heart and Lung Transplantation. 2020
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7195343/
https://www.ncbi.nlm.nih.gov/pubmed/32505492
http://dx.doi.org/10.1016/j.healun.2020.04.019
Descripción
Sumario:To understand the challenges for thoracic transplantation and mechanical circulatory support during the current coronavirus disease 2019 pandemic, we propose separating the effects of the pandemic into 5 distinct stages from a healthcare system perspective. We discuss how the classical ethical principles of utility, justice, and efficiency may need to be adapted, and we give specific recommendations for thoracic transplantation and mechanical circulatory support centers to balance their clinical decisions and strategies for advanced heart and lung disease during the current pandemic.

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