• Crit Care · Jul 2020

    Provision of ECPR during COVID-19: evidence, equity, and ethical dilemmas.

    • Elliott Worku, Denzil Gill, Daniel Brodie, Roberto Lorusso, Alain Combes, and Kiran Shekar.
    • Adult Intensive Care Services, The Prince Charles Hospital, Brisbane, Queensland, Australia. Elliott.worku@health.qld.gov.au.
    • Crit Care. 2020 Jul 27; 24 (1): 462462.

    AbstractThe use of extracorporeal cardiopulmonary resuscitation (ECPR) to restore circulation during cardiac arrest is a time-critical, resource-intensive intervention of unproven efficacy. The current COVID-19 pandemic has brought additional complexity and significant barriers to the ongoing provision and implementation of ECPR services. The logistics of patient selection, expedient cannulation, healthcare worker safety, and post-resuscitation care must be weighed against the ethical considerations of providing an intervention of contentious benefit at a time when critical care resources are being overwhelmed by pandemic demand.

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