Provision of ECPR during COVID-19: evidence, equity, and ethical dilemmas

The use of extracorporeal cardiopulmonary resuscitation (ECPR) to restore circulation during cardiac arrest is a time-critical, resource-intensive intervention of unproven efficacy. The current COVID-19 pandemic has brought additional complexity and significant barriers to the ongoing provision and...

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Autores principales: Worku, Elliott, Gill, Denzil, Brodie, Daniel, Lorusso, Roberto, Combes, Alain, Shekar, Kiran
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Viewpoint
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7384274/
https://www.ncbi.nlm.nih.gov/pubmed/32718340
http://dx.doi.org/10.1186/s13054-020-03172-2
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author Worku, Elliott
Gill, Denzil
Brodie, Daniel
Lorusso, Roberto
Combes, Alain
Shekar, Kiran
author_facet Worku, Elliott
Gill, Denzil
Brodie, Daniel
Lorusso, Roberto
Combes, Alain
Shekar, Kiran
author_sort Worku, Elliott
collection PubMed
description The use of extracorporeal cardiopulmonary resuscitation (ECPR) to restore circulation during cardiac arrest is a time-critical, resource-intensive intervention of unproven efficacy. The current COVID-19 pandemic has brought additional complexity and significant barriers to the ongoing provision and implementation of ECPR services. The logistics of patient selection, expedient cannulation, healthcare worker safety, and post-resuscitation care must be weighed against the ethical considerations of providing an intervention of contentious benefit at a time when critical care resources are being overwhelmed by pandemic demand.
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spelling pubmed-73842742020-07-28 Provision of ECPR during COVID-19: evidence, equity, and ethical dilemmas Worku, Elliott Gill, Denzil Brodie, Daniel Lorusso, Roberto Combes, Alain Shekar, Kiran Crit Care Viewpoint The use of extracorporeal cardiopulmonary resuscitation (ECPR) to restore circulation during cardiac arrest is a time-critical, resource-intensive intervention of unproven efficacy. The current COVID-19 pandemic has brought additional complexity and significant barriers to the ongoing provision and implementation of ECPR services. The logistics of patient selection, expedient cannulation, healthcare worker safety, and post-resuscitation care must be weighed against the ethical considerations of providing an intervention of contentious benefit at a time when critical care resources are being overwhelmed by pandemic demand. BioMed Central 2020-07-27 /pmc/articles/PMC7384274/ /pubmed/32718340 http://dx.doi.org/10.1186/s13054-020-03172-2 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Viewpoint
Worku, Elliott
Gill, Denzil
Brodie, Daniel
Lorusso, Roberto
Combes, Alain
Shekar, Kiran
Provision of ECPR during COVID-19: evidence, equity, and ethical dilemmas
title Provision of ECPR during COVID-19: evidence, equity, and ethical dilemmas
title_full Provision of ECPR during COVID-19: evidence, equity, and ethical dilemmas
title_fullStr Provision of ECPR during COVID-19: evidence, equity, and ethical dilemmas
title_full_unstemmed Provision of ECPR during COVID-19: evidence, equity, and ethical dilemmas
title_short Provision of ECPR during COVID-19: evidence, equity, and ethical dilemmas
title_sort provision of ecpr during covid-19: evidence, equity, and ethical dilemmas
topic Viewpoint
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7384274/
https://www.ncbi.nlm.nih.gov/pubmed/32718340
http://dx.doi.org/10.1186/s13054-020-03172-2
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