Journal article
Ethical Considerations for Ventricular Assist Device Support: A 10-Point Model
ASAIO journal (1992), v 57(4), pp 268-273
01 Jul 2011
PMID: 21642842
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The potential for long-term support on a ventricular assist device (VAD) in the bridge-to-transplant (BTT) and destination therapy (DT) settings has created unprecedented ethical challenges for patients and caregivers. Concerns include the patient's adaptation to life on a device and the ethical, clinical, and practical issues associated with living on mechanical support. On the basis of our experience treating 175 consecutive VAD patients, we have developed a model to address the ethical and psychosocial needs of patients undergoing VAD implantation. Patient preparation for VAD implantation encompasses three phases: 1) initial information regarding the physical events involved in implantation, risks and benefits of current device technology, and the use of VAD as a rescue device; 2) preimplant preparation including completion of advance directives specific to BTT/DT, competency determination, and identifying a patient spokesperson, multidisciplinary consultants, and cultural preferences regarding device withdrawal; and 3) VAD-specific end-of-life issues including plans for device replacement and palliative care with hospice or device withdrawal. This three-phase 10-point model addresses the ethical and psychosocial issues that should be discussed with patients undergoing VAD support. ASAIO Journal 2011; 57:268-273.
Metrics
Details
- Title
- Ethical Considerations for Ventricular Assist Device Support: A 10-Point Model
- Creators
- Ralph J. Petrucci - Drexel UniversityLynne A. Benish - Temple UniversityBarbara L. Carrow - Thoratec CorporationLisa Prato - Drexel UniversityShelley R. Hankins - Department of MedicineHoward J. Eisen - Penn State Heart and Vascular InstituteJohn W. Entwistle - Drexel University
- Publication Details
- ASAIO journal (1992), v 57(4), pp 268-273
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 6
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- [Retired Faculty]; Infectious Diseases (and HIV Medicine)
- Web of Science ID
- WOS:000292002200004
- Scopus ID
- 2-s2.0-79960382475
- Other Identifier
- 991019167835904721
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- Collaboration types
- Industry collaboration
- Domestic collaboration
- Web of Science research areas
- Engineering, Biomedical
- Transplantation