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On “Not Recommending” ECMO

Name: On “Not Recommending” ECMO
Creator: Ian Wolfe
Keywords: 0301 basic medicine, 03 medical and health sciences, Extracorporeal Membrane Oxygenation, 0302 clinical medicine, Withholding Treatment, Communication, Decision Making, Humans, Intensive Care Units, Pediatric, 3. Good health

descriptionPublicationkeyboard_double_arrow_right Article 01 Sep 2020Publisher:WileyJournal:Hastings Center Report, volume 50, pages 5-6 (issn: 0093-0334, eissn: 1552-146X,

Authors: Ian Wolfe;

doi: 10.1002/hast.1177

pmid: 33095481

On “Not Recommending” ECMO

- Summary
- Subjects
- Metrics

Abstract

AbstractThe neonatologist was describing the dire situation, the complexity of the fetus's anomalies, and the options—comfort care, some resuscitation—and finished by saying, “We would not recommend ECMO …” “We would not recommend” is a curious phrase. There is something ambiguous, very nebulous about it, something passive, noncommittal, maybe even deflective. As a bioethics researcher, I wondered how this phrase is interpreted, how it influences parents' moral deliberation over their options.

Keywords

Extracorporeal Membrane Oxygenation, Withholding Treatment, Communication, Decision Making, Humans, Intensive Care Units, Pediatric

Impact byBIP!

	citations This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).	0
	popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.	Average
	influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).	Average
	impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.	Average