PMID- 25332093
OWN - NLM
STAT- MEDLINE
DCOM- 20150817
LR  - 20181202
IS  - 1553-5606 (Electronic)
IS  - 1553-5592 (Linking)
VI  - 9
IP  - 12
DP  - 2014 Dec
TI  - Extracorporeal membrane oxygenation in adults: a brief review and ethical 
      considerations for nonspecialist health providers and hospitalists.
PG  - 808-13
LID - 10.1002/jhm.2262 [doi]
AB  - Given the pace, distribution, and uptake of technological innovation, patients 
      experiencing respiratory failure, heart failure, or cardiac arrest are, with 
      greater frequency, being treated with extracorporeal membrane oxygenation (ECMO). 
      Although most hospitalists will not be responsible for ordering or managing ECMO, 
      in-hospital healthcare providers continue to be a vital source of patient 
      referral and, accordingly, need to understand the rudiments of these technologies 
      so as to co-manage patients, counsel families, and help ensure that the provision 
      of ECMO is consistent with patient preferences and appropriate goals of care. In 
      an effort to prepare hospitalists for these clinical responsibilities, we review 
      the history and technology behind modern-day ECMO, including venoarterial 
      extracorporeal membrane oxygenation (VA-ECMO) and venovenous extracorporeal 
      membrane oxygenation. Building upon that foundation, we further highlight special 
      ethical considerations that may arise in VA-ECMO, and present an ethically 
      grounded approach to the initiation, continuation, and discontinuation of 
      treatment.
CI  - (c) 2014 Society of Hospital Medicine.
FAU - Meltzer, Ellen C
AU  - Meltzer EC
AD  - Division of Medical Ethics, Weill Cornell Medical College, New York, New York.
FAU - Ivascu, Natalia S
AU  - Ivascu NS
FAU - Acres, Cathleen A
AU  - Acres CA
FAU - Stark, Meredith
AU  - Stark M
FAU - Kirkpatrick, James N
AU  - Kirkpatrick JN
FAU - Paul, Subroto
AU  - Paul S
FAU - Sedrakyan, Art
AU  - Sedrakyan A
FAU - Fins, Joseph J
AU  - Fins JJ
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20141021
PL  - United States
TA  - J Hosp Med
JT  - Journal of hospital medicine
JID - 101271025
SB  - IM
MH  - Adult
MH  - Extracorporeal Membrane Oxygenation/*ethics/statistics & numerical data
MH  - Health Personnel/*ethics
MH  - Heart Failure/diagnosis/therapy
MH  - Hospitalists/*ethics
MH  - Humans
MH  - Respiratory Insufficiency/diagnosis/therapy
MH  - Retrospective Studies
EDAT- 2014/10/22 06:00
MHDA- 2015/08/19 06:00
CRDT- 2014/10/22 06:00
PHST- 2014/05/15 00:00 [received]
PHST- 2014/09/04 00:00 [revised]
PHST- 2014/09/10 00:00 [accepted]
PHST- 2014/10/22 06:00 [entrez]
PHST- 2014/10/22 06:00 [pubmed]
PHST- 2015/08/19 06:00 [medline]
AID - 10.1002/jhm.2262 [doi]
PST - ppublish
SO  - J Hosp Med. 2014 Dec;9(12):808-13. doi: 10.1002/jhm.2262. Epub 2014 Oct 21.