Ethical challenges of
#ECMO? 4️⃣ four domains:
⚖️ equitable ECMO candidacy decisions
🕯️ integration of palliative care and clinical ethics
⛔️ preservation of patient autonomy when institutional or benchmarking pressures influence care
🚧 responding to requests to continue ECMO when there is no exit strategy
Ethical tension of
#ECLS may generate moral distress for clinicians, patients, and families: here recommendations to emphasize transparent, team-based decisions, early involvement of ethics and palliative care, and consistent processes for ongoing review of candidacy and continuation of ECMO.
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