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Decisions on the Edge: Ethical Considerations in E ...
Decisions on the Edge: Ethical Considerations in Expanding ECMO Indications
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Video Summary
The speaker is discussing the complex ethical and moral dilemmas involved in making ECMO (extracorporeal membrane oxygenation) decisions, particularly in pediatric cases with uncertain outcomes. The presentation revolves around cases where ECMO was used in challenging circumstances, such as a young girl's case where ECMO was administered after prolonged cold-water submersion, and a baby with heart disease where late ECMO did not prevent an adverse outcome. The speaker emphasizes the need to establish a reproducible decision-making process that involves a multidisciplinary team, ethical guiding principles, bias reduction, and optimal shared decision-making with families. They highlight that the increasing use and expanded indications for ECMO necessitate guidelines that balance benefits with resource stewardship. The talk calls for a systematic approach to navigate the ethical complexities and uncertainties of ECMO, without a definitive answer, but encourages process-driven strategies to guide decisions.
Asset Caption
One-Hour Concurrent Session | Deus Ex Machina: Decision-Making and Ethics in Pediatric ECMO
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Content Type
Presentation
Membership Level
Professional
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Year
2024
Keywords
ECMO
ethical dilemmas
pediatric cases
multidisciplinary team
decision-making process
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English