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Published on: January 30, 2020
Advances in Cardiopulmonary Life-Support Change the Meaning of What It Means to be Resuscitated
Leslie C Avant1, Carolyn E Kezar1,2,3, Keith M Swetz1,2,3
1Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Abstract:
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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