Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Extra corporeal membrane oxygenation support: ethical dilemmas.

Tony Makdisi1, George Makdisi2

  • 1Palliative Care Division, University of Massachusetts Medical School, Berkshire Medical Center, Pittsfield, MA, USA.

Annals of Translational Medicine
|April 1, 2017
PubMed
Summary

Extra corporeal membrane oxygenation (ECMO) use raises ethical dilemmas regarding treatment decisions. Addressing these complex issues is crucial for patient care and surrogate involvement.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Incidental detection of aortic valve fibroelastomas during endoscopic ultrasound for pancreatic evaluation: Three case reports.

World journal of clinical cases·2025
Same author

Recirculation phenomena in double cannula veno-venous extra corporeal membrane oxygenation.

Journal of thoracic disease·2024
Same author

Internal Thoracic Artery and Vascular Adaptations.

The Annals of thoracic surgery·2021
Same author

Pulmonary fibrosis combined with lung cancer following lung transplantation: should we do more?

Translational lung cancer research·2021
Same author

Is Internal Mammary to the Anterior Descending Always the Best Option?

The Annals of thoracic surgery·2020
Same author

Extrapericardial Tamponade After Blunt Trauma.

The Annals of thoracic surgery·2020

Area of Science:

  • Medical Ethics
  • Critical Care Medicine
  • Cardiopulmonary Support

Background:

  • Increasing use of Extracorporeal Membrane Oxygenation (ECMO) presents new ethical challenges.
  • Disagreements arise concerning ECMO indications, duration, and withdrawal of support.
  • Ethical conflicts occur among surrogates, healthcare teams, and between these groups.

Discussion:

  • Ambiguity in patient outcomes and treatment goals (recovery, mechanical support, transplant) fuels ethical debates.
  • Urgent initiation of ECMO support complicates ethical decision-making.
  • Patient scenarios are used to explore these complex ethical questions.

Key Insights:

  • Ethical frameworks are needed to navigate ECMO-related disagreements.
  • Clear communication and shared decision-making are vital in ECMO cases.
Keywords:
Extra corporeal membrane oxygenation (ECMO)ethicsextracorporeal supportmechanical circulatory support (MCS)multidisciplinary

Related Experiment Videos

  • Defining treatment direction is essential for ethical ECMO management.

    • Outlook:

    • Further research into ethical guidelines for ECMO is warranted.
    • Developing standardized protocols for ECMO decision-making can mitigate ethical conflicts.
    • Improving surrogate and healthcare team education on ECMO ethics is essential.