The ethics of deactivating implanted cardioverter defibrillators.

Abstract:

:Implantable cardioverter defibrillators are life-saving devices for many patients with cardiac disease. Recipients of these devices, nevertheless, often suffer from progressive comorbid and cardiac conditions. Therefore, physicians should anticipate situations in which the defibrillator is no longer desired by the patient or no longer medically appropriate. Near the end of life, many of these patients may decline cardiopulmonary resuscitation. The comanagement of do-not-resuscitate orders and implanted defibrillators can be confusing to patients and physicians alike since the former proscribe the use of electrical cardioversion while the latter provide this precise treatment. Although the use of implanted defibrillators has important ethical implications, few studies have examined these issues, and guidelines have not yet been developed to assist physicians in caring for patients who have received defibrillators. This paper discusses bioethical considerations in disabling implantable cardioverter defibrillators.

journal_name

Ann Intern Med

authors

Berger JT

doi

10.7326/0003-4819-142-8-200504190-00012

subject

Has Abstract

pub_date

2005-04-19 00:00:00

pages

631-4

issue

8

eissn

0003-4819

issn

1539-3704

pii

142/8/631

journal_volume

142

pub_type

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