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

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

doi:10.1186/s13054-020-03172-2

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 journal › Article › Academic › peer-review

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 language	English
Article number	462
Number of pages	8
Journal	Critical Care
Volume	24
Issue number	1
DOIs	https://doi.org/10.1186/s13054-020-03172-2
Publication status	Published - 27 Jul 2020

Keywords

HOSPITAL CARDIAC-ARREST
RESUSCITATION
DECISIONS

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10.1186/s13054-020-03172-2Licence: CC BY

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title = "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.",

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AU - Worku, Elliott

AU - Gill, Denzil

AU - Brodie, Daniel

AU - Lorusso, Roberto

AU - Combes, Alain

AU - Shekar, Kiran

PY - 2020/7/27

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N2 - 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.

AB - 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.

KW - HOSPITAL CARDIAC-ARREST

KW - RESUSCITATION

KW - DECISIONS

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ER -

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

Abstract

Keywords

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