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Article Dans Une Revue Critical Care Année : 2020

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

Résumé

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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Dates et versions

hal-02934845 , version 1 (09-09-2020)

Identifiants

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Elliott Worku, Denzil Gill, Daniel Brodie, Roberto Lorusso, Alain Combes, et al.. Provision of ECPR during COVID-19: evidence, equity, and ethical dilemmas. Critical Care, 2020, 24 (1), pp.462. ⟨10.1186/s13054-020-03172-2⟩. ⟨hal-02934845⟩
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