@inbook{cf392c8c6fb4493cb0d0458a32dd416b,
title = "Ethical dilemma: offering short-term extracorporeal membrane oxygenation support for terminally ill children who are not candidates for long-term mechanical circulatory support or heart transplantation.",
abstract = "The use of extracorporeal membrane oxygenation (ECMO) in terminally ill pediatric patients who are not candidates for long-term mechanical circulatory support or heart transplantation requires careful deliberation. We present the case of a 16-year-old female with a relapse of acute lymphoid leukemia and acute-on-chronic cardiomyopathy who received short-term ECMO therapy. In addition, we highlight several ethical considerations that were crucial to this patient's family-centered care and demonstrate that this therapy can be accomplished in a manner that respects patient autonomy and family wishes.",
keywords = "*Cardiomyopathies/th [Therapy], *Extracorporeal Membrane Oxygenation/es [Ethics], *Heart Failure/th [Therapy], *Medical Futility/es [Ethics], *Terminal Care/es [Ethics], Adolescent, Anthracyclines/ae [Adverse Effects], Assisted Circulation, Cardiomyopathies/ci [Chemically Induced], Disease Progression, Female, Heart Transplantation, Humans, Patient Transfer, Precursor Cell Lymphoblastic Leukemia-Lymphoma/dt, Recurrence",
author = "Venkat Shankar and Costello, {John P} and Peer, {Syed M} and Darren Klugman and Nath, {Dilip S}",
year = "2014",
doi = "10.1177/2150135113509820",
language = "English (US)",
isbn = "2150-136X (Electronic)\r2150-1351 (Linking)",
series = "World journal for pediatric & congenital heart surgery",
publisher = "Shankar,Venkat. Department of Critical Care Medicine, Children's National Medical Center, Washington, DC, USA.",
pages = "311--314",
booktitle = "World journal for pediatric & congenital heart surgery",
}
