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Ethical considerations regarding heart and lung transplantation and mechanical circulatory support during the COVID-19 pandemic: an ISHLT COVID-19 Task Force statement.
Holm, Are M; Mehra, Mandeep R; Courtwright, Andrew; Teuteberg, Jeffrey; Sweet, Stuart; Potena, Luciano; Singer, Lianne G; Farrero, Marta; Shullo, Michael A; Benza, Raymond; Ensminger, Stephan; Aslam, Saima.
  • Holm AM; Department of Respiratory Medicine, Oslo University Hospital, Oslo, Norway; Faculty of Medicine, University of Oslo, Oslo, Norway.
  • Mehra MR; Center for Advanced Heart Disease, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
  • Courtwright A; Division of Pulmonary and Critical Care Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.
  • Teuteberg J; Division of Cardiovascular Medicine, Stanford University Medical Center, Stanford, California.
  • Sweet S; Division of Allergy and Pulmonary Medicine, Washington University School of Medicine, St. Louis, Missouri.
  • Potena L; Cardiovascular Department, Bologna University Hospital, Bologna, Italy.
  • Singer LG; Department of Medicine, University Health Network, University of Toronto, Toronto, Ontario, Canada.
  • Farrero M; Advanced Heart Failure Unit, Hospital Clinic Barcelona, Barcelona, Spain.
  • Shullo MA; West Virginia University Hospitals, Morgantown, West Virginia.
  • Benza R; Division of Cardiovascular Diseases, Ohio State University, Columbus, Ohio.
  • Ensminger S; Department of Cardiac and Thoracic Vascular Surgery, University Medical Center Schleswig-Holstein, Campus Lübeck, Germany.
  • Aslam S; Division of Infectious Diseases and Global Public Health, University of California, San Diego, San Diego, California. Electronic address: saslam@health.ucsd.edu.
J Heart Lung Transplant ; 39(7): 619-626, 2020 07.
Article in English | MEDLINE | ID: covidwho-580235
ABSTRACT
To understand the challenges for thoracic transplantation and mechanical circulatory support during the current coronavirus disease 2019 pandemic, we propose separating the effects of the pandemic into 5 distinct stages from a healthcare system perspective. We discuss how the classical ethical principles of utility, justice, and efficiency may need to be adapted, and we give specific recommendations for thoracic transplantation and mechanical circulatory support centers to balance their clinical decisions and strategies for advanced heart and lung disease during the current pandemic.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Assisted Circulation / Heart Transplantation / Lung Transplantation / Coronavirus Infections / Betacoronavirus / Health Services Accessibility Type of study: Observational study / Prognostic study Limits: Humans Language: English Journal: J Heart Lung Transplant Journal subject: Cardiology / Transplantation Year: 2020 Document Type: Article Affiliation country: J.healun.2020.04.019

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Assisted Circulation / Heart Transplantation / Lung Transplantation / Coronavirus Infections / Betacoronavirus / Health Services Accessibility Type of study: Observational study / Prognostic study Limits: Humans Language: English Journal: J Heart Lung Transplant Journal subject: Cardiology / Transplantation Year: 2020 Document Type: Article Affiliation country: J.healun.2020.04.019