Advances in Cardiopulmonary Life-Support Change the Meaning of What It Means to be Resuscitated.

Academic Article

Abstract

  • As options for advanced cardiopulmonary support proliferate, the use of mechanical circulatory support, such as left ventricular assist device as destination therapy (LVAD-DT), is becoming increasingly commonplace. In the current case, a patient was hospitalized for complications related to his LVAD-DT requests "full code" status, despite a clinician's warning that performing chest compressions may damage the LVAD device or vascular structures leading to poor outcome. This discussion explores the ethical and legal considerations regarding a patient request for cardiopulmonary resuscitation when limited options for survival or further treatment are available.
  • Keywords

  • end of life, palliative care, patient–physician relationship, withdrawing, withholding
  • Digital Object Identifier (doi)

    Author List

  • Avant LC; Kezar CE; Swetz KM
  • Start Page

  • 67
  • End Page

  • 71
  • Volume

  • 1
  • Issue

  • 1