Advances in Cardiopulmonary Life-Support Change the Meaning of What It Means to be Resuscitated

As options for advanced cardiopulmonary support proliferate, the use of mechanical circulatory support, such as left ventricular assist device as destination therapy (LVAD-DT), is becoming increasingly commonplace. In the current case, a patient was hospitalized for complications related to his LVAD...

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Main Authors: Leslie C. Avant, Carolyn E. Kezar, Keith M. Swetz
Format: Article
Language:English
Published: Mary Ann Liebert 2020-06-01
Series:Palliative Medicine Reports
Subjects:
Online Access:https://www.liebertpub.com/doi/full/10.1089/PMR.2020.0002
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author Leslie C. Avant
Carolyn E. Kezar
Keith M. Swetz
author_facet Leslie C. Avant
Carolyn E. Kezar
Keith M. Swetz
author_sort Leslie C. Avant
collection DOAJ
description As options for advanced cardiopulmonary support proliferate, the use of mechanical circulatory support, such as left ventricular assist device as destination therapy (LVAD-DT), is becoming increasingly commonplace. In the current case, a patient was hospitalized for complications related to his LVAD-DT requests ?full code? status, despite a clinician's warning that performing chest compressions may damage the LVAD device or vascular structures leading to poor outcome. This discussion explores the ethical and legal considerations regarding a patient request for cardiopulmonary resuscitation when limited options for survival or further treatment are available.
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spelling doaj.art-b5b5d24fb3404f9a81074c619147c9c82024-01-26T04:49:38ZengMary Ann LiebertPalliative Medicine Reports2689-28202020-06-0111677110.1089/PMR.2020.0002Advances in Cardiopulmonary Life-Support Change the Meaning of What It Means to be ResuscitatedLeslie C. AvantCarolyn E. KezarKeith M. SwetzAs options for advanced cardiopulmonary support proliferate, the use of mechanical circulatory support, such as left ventricular assist device as destination therapy (LVAD-DT), is becoming increasingly commonplace. In the current case, a patient was hospitalized for complications related to his LVAD-DT requests ?full code? status, despite a clinician's warning that performing chest compressions may damage the LVAD device or vascular structures leading to poor outcome. This discussion explores the ethical and legal considerations regarding a patient request for cardiopulmonary resuscitation when limited options for survival or further treatment are available.https://www.liebertpub.com/doi/full/10.1089/PMR.2020.0002end of lifepalliative carepatient?physician relationshipwithholdingwithdrawing
spellingShingle Leslie C. Avant
Carolyn E. Kezar
Keith M. Swetz
Advances in Cardiopulmonary Life-Support Change the Meaning of What It Means to be Resuscitated
Palliative Medicine Reports
end of life
palliative care
patient?physician relationship
withholding
withdrawing
title Advances in Cardiopulmonary Life-Support Change the Meaning of What It Means to be Resuscitated
title_full Advances in Cardiopulmonary Life-Support Change the Meaning of What It Means to be Resuscitated
title_fullStr Advances in Cardiopulmonary Life-Support Change the Meaning of What It Means to be Resuscitated
title_full_unstemmed Advances in Cardiopulmonary Life-Support Change the Meaning of What It Means to be Resuscitated
title_short Advances in Cardiopulmonary Life-Support Change the Meaning of What It Means to be Resuscitated
title_sort advances in cardiopulmonary life support change the meaning of what it means to be resuscitated
topic end of life
palliative care
patient?physician relationship
withholding
withdrawing
url https://www.liebertpub.com/doi/full/10.1089/PMR.2020.0002
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AT carolynekezar advancesincardiopulmonarylifesupportchangethemeaningofwhatitmeanstoberesuscitated
AT keithmswetz advancesincardiopulmonarylifesupportchangethemeaningofwhatitmeanstoberesuscitated