MedicGo
Ethical considerations regarding heart and lung transplantation and mechanical circulatory support during the COVID-19 pandemic: an ISHLT COVID-19 Task Force statement.
Metadata
Journaljournal of heart and lung transplantation7.865Date
2020 Apr 25
5 months ago
Type
Editorial
Volume
2020-07 / 39 : 619-626
Author
Holm AM 1, Mehra MR 2, Courtwright A 3, Teuteberg J 4, Sweet S 5, Potena L 6, Singer LG 7, Farrero M 8, Shullo MA 9, Benza R 10, Ensminger S 11, Aslam S 12
Affiliation
  • 2. Center for Advanced Heart Disease, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
  • 3. Division of Pulmonary and Critical Care Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.
  • 4. Division of Cardiovascular Medicine, Stanford University Medical Center, Stanford, California.
  • 5. Division of Allergy and Pulmonary Medicine, Washington University School of Medicine, St. Louis, Missouri.
  • 6. Cardiovascular Department, Bologna University Hospital, Bologna, Italy.
  • 7. Department of Medicine, University Health Network, University of Toronto, Toronto, Ontario, Canada.
  • 8. Advanced Heart Failure Unit, Hospital Clinic Barcelona, Barcelona, Spain.
  • 9. West Virginia University Hospitals, Morgantown, West Virginia.
  • 10. Division of Cardiovascular Diseases, Ohio State University, Columbus, Ohio.
  • 11. Department of Cardiac and Thoracic Vascular Surgery, University Medical Center Schleswig-Holstein, Campus Lübeck, Germany.
  • 12. Division of Infectious Diseases and Global Public Health, University of California, San Diego, San Diego, California. Electronic address: [email protected]
Doi
PMIDMESH
Assisted Circulation
Betacoronavirus
Coronavirus Infections
Health Services Accessibility
Heart Transplantation
Humans
Lung Transplantation
Pandemics
Patient Selection
Pneumonia, Viral
Abstract
To understand the challenges for thoracic transplantation and mechanical circulatory support during the current coronavirus disease 2019 pandemic, we propose separating the effects of the pandemic into 5 distinct stages from a healthcare system perspective. We discuss how the classical ethical principles of utility, justice, and efficiency may need to be adapted, and we give specific recommendations for thoracic transplantation and mechanical circulatory support centers to balance their clinical decisions and strategies for advanced heart and lung disease during the current pandemic.
Keywords: COVID-19 MCS SARS-CoV-2 ethics thoracic transplant
Fav
Like
Download
Share
Export
Cite
7.9
J Heart Lung Transplantjournal of heart and lung transplantation
Metadata
LocationUnited States
FromELSEVIER SCIENCE INC

No Data

© 2017 - 2020 Medicgo
Powered by some medical students