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Provision of ECPR during COVID-19: evidence, equity, and ethical dilemmas.
Worku, Elliott; Gill, Denzil; Brodie, Daniel; Lorusso, Roberto; Combes, Alain; Shekar, Kiran.
  • Worku E; Adult Intensive Care Services, The Prince Charles Hospital, Brisbane, Queensland, Australia. Elliott.worku@health.qld.gov.au.
  • Gill D; University of Queensland, Brisbane, Queensland, Australia. Elliott.worku@health.qld.gov.au.
  • Brodie D; Adult Intensive Care Services, The Prince Charles Hospital, Brisbane, Queensland, Australia.
  • Lorusso R; Center for Acute Respiratory Failure, New York-Presbyterian Hospital, New York, USA.
  • Combes A; Columbia University College of Physicians and Surgeons/New York-Presbyterian Hospital, New York, USA.
  • Shekar K; Cardio-Thoracic Surgery Department, Heart and Vascular Centre, Maastricht University Medical Centre (MUMC), Cardiovascular Research Institute Maastricht (CARIM), Maastricht, The Netherlands.
Crit Care ; 24(1): 462, 2020 07 27.
Article in English | MEDLINE | ID: covidwho-679775
ABSTRACT
The use of extracorporeal cardiopulmonary resuscitation (ECPR) to restore circulation during cardiac arrest is a time-critical, resource-intensive intervention of unproven efficacy. The current COVID-19 pandemic has brought additional complexity and significant barriers to the ongoing provision and implementation of ECPR services. The logistics of patient selection, expedient cannulation, healthcare worker safety, and post-resuscitation care must be weighed against the ethical considerations of providing an intervention of contentious benefit at a time when critical care resources are being overwhelmed by pandemic demand.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Extracorporeal Membrane Oxygenation / Cardiopulmonary Resuscitation / Coronavirus Infections / Pandemics / Heart Arrest Type of study: Observational study Limits: Humans Language: English Journal: Crit Care Year: 2020 Document Type: Article Affiliation country: S13054-020-03172-2

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Extracorporeal Membrane Oxygenation / Cardiopulmonary Resuscitation / Coronavirus Infections / Pandemics / Heart Arrest Type of study: Observational study Limits: Humans Language: English Journal: Crit Care Year: 2020 Document Type: Article Affiliation country: S13054-020-03172-2