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Dublin Core
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July 2021 List
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Citation List Month
July 2021 List
URL Address
<a href="http://doi.org/10.1097/pcc.0000000000002766" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/pcc.0000000000002766</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Decision-Making, Ethics, and End-of-Life Care in Pediatric Extracorporeal Membrane Oxygenation: A Comprehensive Narrative Review
Publisher
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Pediatric Critical Care Medicine
Date
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2021
Subject
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child; terminal care; ethics; decision-making; communication; Extracorporeal membrane oxygenation
Creator
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Moynihan KM; Dorste A; Siegel BD; Rabinowitz EJ; McReynolds A; October TW
Description
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OBJECTIVES: Pediatric extracorporeal membrane oxygenation is associated with significant morbidity and mortality. We sought to summarize literature on communication and decision-making, end-of-life care, and ethical issues to identify recommended approaches and highlight knowledge gaps. DATA SOURCES: PubMed, Embase, Web of Science, and Cochrane Library. STUDY SELECTION: We reviewed published articles (1972-2020) which examined three pediatric extracorporeal membrane oxygenation domains: 1) decision-making or communication between clinicians and patients/families, 2) ethical issues, or 3) end-of-life care. DATA EXTRACTION: Two reviewers independently assessed eligibility using Preferred Reporting Items for Systematic Reviews and Meta-Analyses methodology. DATA SYNTHESIS: Of 2,581 publications screened, we identified one systematic review and 35 descriptive studies. No practical guides exist for communication and decision-making in pediatric extracorporeal membrane oxygenation. Conversation principles and parent/clinician perspectives are described. Ethical issues related to consent, initiation, discontinuation, resource allocation, and research. No patient-level synthesis of ethical issues or end-of-life care in pediatric extracorporeal membrane oxygenation was identified. CONCLUSIONS: Despite numerous ethical issues reported surrounding pediatric extracorporeal membrane oxygenation, we found limited patient-level research and no practical guides for communicating with families or managing extracorporeal membrane oxygenation discontinuation.
Identifier
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<a href="http://doi.org/10.1097/pcc.0000000000002766" target="_blank" rel="noreferrer noopener">10.1097/pcc.0000000000002766</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2021
Child
Communication
Decision-making
Dorste A
Ethics
Extracorporeal Membrane Oxygenation
July 2021 List
McReynolds A
Moynihan KM
October TW
Pediatric Critical Care Medicine
Rabinowitz EJ
Siegel BD
Terminal Care