Battle of the Bridge: Ethical Considerations Related to Withdrawal of ECMO Support for Pediatric Patients over Family Objections

Jenny Kingsley; Emily Berkman; Sabrina Derrington

doi:10.1080/15265161.2023.2201237

May 23, 2023The American Journal of Bioethics

Battle of the Bridge: Ethical Considerations Related to Withdrawal of ECMO Support for Pediatric Patients over Family Objections

View at Publisher

Ask AI

Bookmark

Share

Key result

Unilateral withdrawal of life-sustaining ECMO over family objections in pediatric patients raises important ethical concerns regarding the claims used to support the practice.

Key Points

To examine the ethical and legal complexities surrounding the unilateral withdrawal of life-sustaining extracorporeal membrane oxygenation support in pediatric patients over family objections.
Conducted a normative bioethical critique of clinical claims and frameworks justifying unilateral withdrawal of life-sustaining treatment.
Analyzed the limits of surrogate decision-making authority, clinical consensus, and medical futility determinations in pediatric intensive care settings.
Identified critical ethical vulnerabilities when clinicians unilaterally decide to discontinue ECMO without parental consent.
Highlighted the necessity of robust conflict-resolution protocols, comprehensive ethics consultation, and clear institutional guidelines before executing unilateral end-of-life decisions.

Structured PICO

P

Population

Pediatric patients on ECMO support

I

Intervention

Unilateral withdrawal of life-sustaining ECMO

Ask about this paper

Answers are grounded in this paper and cite their sources.

Implication

Highlights ethical concerns regarding the unilateral withdrawal of life-sustaining ECMO support in pediatric patients over family objections.

Abstract

Childress et al. (2023) critically examine claims used to support unilateral withdrawal of life-sustaining ECMO over the objections of capacitated patients. The authors raise important concerns abo...

Discussion

No takes yet. Share an insight, caveat, or question.

Cite This Study

Kingsley et al. (2023) studied this question. Unilateral withdrawal of life-sustaining ECMO over family objections in pediatric patients raises important ethical concerns regarding the claims used to support the practice.

synapsesocial.com/papers/6aa6e8663f91f0dc52791fc2 https://doi.org/10.1080/15265161.2023.2201237

View at Publisher

Ask AI

Bookmark

Share

Battle of the Bridge: Ethical Considerations Related to Withdrawal of ECMO Support for Pediatric Patients over Family Objections

Key Points

Structured PICO

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

Battle of the Bridge: Ethical Considerations Related to Withdrawal of ECMO Support for Pediatric Patients over Family Objections

Key Points

Structured PICO

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

Keep reading

Keep reading