On “Not Recommending” ECMO

On “Not Recommending” ECMO

The neonatologist was describing the dire situation, the complexity of the fetus's anomalies, and the options—comfort care, some resuscitation—and finished by saying, “We would not recommend ECMO …” “We would not recommend” is a curious phrase. There is something ambiguous, very nebulous about...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:The Hastings Center report 2020-09, Vol.50 (5), p.5-6
1. Verfasser: Wolfe, Ian D.
Format: Artikel
Sprache:eng
Schlagworte:
Bioethics
clinician communication
ECMO
Extracorporeal membrane oxygenation
neonatal medicine
Newborn babies
palliative care
parent‐physician relationship
pediatric decision‐making
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
Beschreibung
Zusammenfassung:The neonatologist was describing the dire situation, the complexity of the fetus's anomalies, and the options—comfort care, some resuscitation—and finished by saying, “We would not recommend ECMO …” “We would not recommend” is a curious phrase. There is something ambiguous, very nebulous about it, something passive, noncommittal, maybe even deflective. As a bioethics researcher, I wondered how this phrase is interpreted, how it influences parents' moral deliberation over their options.
ISSN:0093-0334
1552-146X
DOI:10.1002/hast.1177