Advances in Cardiopulmonary Life-Support Change the Meaning of What It Means to be Resuscitated

As options for advanced cardiopulmonary support proliferate, the use of mechanical circulatory support, such as left ventricular assist device as destination therapy (LVAD-DT), is becoming increasingly commonplace. In the current case, a patient was hospitalized for complications related to his LVAD...

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Detalles Bibliográficos
Autores principales: Avant, Leslie C., Kezar, Carolyn E., Swetz, Keith M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mary Ann Liebert, Inc., publishers 2020
Materias:
Case Discussions in Palliative Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8241316/
https://www.ncbi.nlm.nih.gov/pubmed/34223459
http://dx.doi.org/10.1089/pmr.2020.0002
Descripción
Sumario:As options for advanced cardiopulmonary support proliferate, the use of mechanical circulatory support, such as left ventricular assist device as destination therapy (LVAD-DT), is becoming increasingly commonplace. In the current case, a patient was hospitalized for complications related to his LVAD-DT requests “full code” status, despite a clinician's warning that performing chest compressions may damage the LVAD device or vascular structures leading to poor outcome. This discussion explores the ethical and legal considerations regarding a patient request for cardiopulmonary resuscitation when limited options for survival or further treatment are available.

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