We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
A Bridge to Nowhere: Enabling Autonomy in a Case of Failed ECMO Rescue of Bleomycin-Induced Pulmonary Toxicity.
- Authors
Hall, James; Khilkin, Michael; Murphy, Sara; Botros, George
- Abstract
Extracorporeal membrane oxygenation (ECMO) can be a life-saving intervention in cases of potentially reversible refractory respiratory failure. One such indication can be bleomycin-induced lung injury. However, in some cases, the injury can be so severe that it becomes irreversible and creates complex medical decisions regarding life support and the continuation of care when no additional therapeutic options are feasible, particularly in cases of patients who were young and fully functional prior to an acute illness. In cases of full pulmonary replacement with mechanical support and the degree of functionality that can be attained utilizing modalities such as ECMO can obscure the true severity of illness and make end-of-life decisions significantly harder for families and caregivers.
- Subjects
PULMONARY fibrosis; EXTRACORPOREAL membrane oxygenation; CAREGIVERS; ACUTE diseases; RESPIRATORY insufficiency
- Publication
Reports (MDPI AG), 2023, Vol 6, Issue 1, p17
- ISSN
2571-841X
- Publication type
Case Study
- DOI
10.3390/reports6010017