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[Ethical aspects in the context of extracorporeal life support systems (ECLS): consensus paper of the DGK, DGTHG and

Jochen Dutzmann1,2,3, Hanno Grahn4,2, Udo Boeken5,2,6

  • 1Universitätsklinik und Poliklinik für Innere Medizin III, Mitteldeutsches Herzzentrum, Universitätsklinikum Halle (Saale), Halle (Saale), Deutschland.

Die Anaesthesiologie
|August 23, 2024
PubMed

Insights

Extracorporeal life support systems (ECLS) provide critical care for severe cardiovascular disease. This study proposes an algorithm to address the significant ethical challenges and psychological burden associated with ECLS implementation and patient consent.

Area of Science:

  • Cardiology
  • Intensive Care Medicine
  • Bioethics

Context:

  • Extracorporeal life support systems (ECLS) are vital for severe cardiovascular diseases.
  • ECLS serves as a bridge to recovery or advanced therapies like transplantation.
  • Urgent implantation often bypasses initial patient consent, creating ethical dilemmas.

Purpose:

  • To highlight the ethical challenges and psychological burden of ECLS.
  • To emphasize the necessity of informed consent and defined therapeutic goals for ECLS.
  • To propose a structured algorithm for integrating ethical considerations into ECLS clinical practice.

Summary:

  • ECLS is a critical intervention for severe cardiovascular conditions.
  • Ethical issues arise due to urgent implantation and lack of initial patient consent.
  • A structured algorithm is presented to incorporate ethical aspects into ECLS management.

Impact:

  • Facilitates ethical decision-making in critical care settings.
  • Improves patient and family psychological well-being during ECLS.
  • Enhances the integration of ethical principles into routine ECLS protocols.

Keywords:
Acute heart failureCardiac arrestCardiogenic shockDefibrillatorResuscitation

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