Clarification and Mitigation of Ethical Problems Surrounding Withdrawal of Extracorporeal Membrane Oxygenation
Extracorporeal membrane oxygenation (ECMO) is temporary life-support technology that provides time to rest the cardiac and respiratory system of critically ill people with acute, reversible medical conditions. Health care providers face emotional and challenging situations, where death may result, w...
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Veröffentlicht in: | Critical care nurse 2016-10, Vol.36 (5), p.56-65 |
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description | Extracorporeal membrane oxygenation (ECMO) is temporary life-support technology that provides time to rest the cardiac and respiratory system of critically ill people with acute, reversible medical conditions. Health care providers face emotional and challenging situations, where death may result, when withdrawing ECMO. A deepening of understanding of the ethical issues involved can aid clinicians in handling such difficult situations, leading to a possible mitigation of the moral problems. Toward this end, the ethical issues raised in the consideration of ECMO withdrawal are analyzed with respect to the ethical principles and concepts of autonomy, nonmaleficence/beneficence, medical futility, moral distress, and justice. In particular, these issues are considered in relation to how they affect and can be addressed by staff nurses and advanced practice nurses in the intensive care unit. Advanced practice nurses in particular can represent the voice of nurses to promote a healthier workplace in situations of moral distress related to stopping ECMO life-support technology and in developing clear and consistent guidelines for ceasing ECMO treatment, all leading toward clarification and mitigation of the ethical problems surrounding the withdrawal of this critical technology. |
doi_str_mv | 10.4037/ccn2016504 |
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subjects | Clinical Decision-Making - ethics Critical Care - methods Critical Care Nursing - ethics Critical Care Nursing - methods Critical Illness - mortality Critical Illness - therapy Extracorporeal Membrane Oxygenation - ethics Extracorporeal Membrane Oxygenation - methods Extracorporeal Membrane Oxygenation - mortality Female Humans Life Support Care - ethics Life Support Care - methods Male Nursing Outcome Assessment (Health Care) Personal Autonomy Professional Autonomy United States Withholding Treatment - ethics |
title | Clarification and Mitigation of Ethical Problems Surrounding Withdrawal of Extracorporeal Membrane Oxygenation |
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