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

Elliott Worku*, Denzil Gill, Daniel Brodie, Roberto Lorusso, Alain Combes, Kiran Shekar

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

8 Citations (Web of Science)

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.

Original languageEnglish
Article number462
Number of pages8
JournalCritical Care
Volume24
Issue number1
DOIs
Publication statusPublished - 27 Jul 2020

Keywords

  • HOSPITAL CARDIAC-ARREST
  • RESUSCITATION
  • DECISIONS

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