Provision of ECPR during COVID-19: evidence, equity, and ethical dilemmas.

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.

journal_name

Crit Care

authors

Worku E,Gill D,Brodie D,Lorusso R,Combes A,Shekar K

doi

10.1186/s13054-020-03172-2

subject

Has Abstract

pub_date

2020-07-27 00:00:00

pages

462

issue

1

eissn

1364-8535

issn

1466-609X

pii

10.1186/s13054-020-03172-2

journal_volume

24

pub_type

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