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  1. Withdrawal of ECMO Support over the Objections of a Capacitated Patient can be Appropriate.Alexander A. Kon - 2023 - American Journal of Bioethics 23 (6):30-32.
    Unfortunately, there is broad confusion regarding the justification for healthcare professionals unilaterally limiting or withdrawing life-prolonging interventions. Many mistakenly believe that suc...
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  • Personalizing Care and Communication at the Limits of Technology.Wynne Morrison & Katie Moynihan - 2023 - American Journal of Bioethics 23 (6):41-43.
    Life-saving healthcare technology evolves over time, raising new ethical questions. What was once experimental becomes standard care, and what was once unthinkable becomes the next frontier. Ethici...
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  • ECMO: What Would a Deliberative Public Judge?Leonard Michael Fleck - 2023 - American Journal of Bioethics 23 (6):46-48.
    I fundamentally agree with Childress et al. (2023) in the scenario they have constructed with Mr. J. None of the arguments they critically assess are ethically persuasive enough to justify removing...
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  • Can the Extraordinary Become Ordinary? Re-Examining the Ethics of ECMO-DT.Eric J. Kim & Jonathan M. Marron - 2023 - American Journal of Bioethics 23 (6):59-61.
    Extracorporeal membrane oxygenation (ECMO) is currently reserved predominantly for bridging patients to a different destination therapy, but the use of ECMO as a destination therapy itself (ECMO-DT...
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  • Ethical Issues in the Transition to ECMO as a Destination Therapy.Samuel N. Doernberg, Derek R. Soled & Robert D. Truog - 2023 - American Journal of Bioethics 23 (6):18-20.
    Childress et al. (2023) present the case of a patient with capacity who requests to stay on extracorporeal membrane oxygenation (ECMO) indefinitely and highlight the ethical challenges associated w...
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  • When Critically Ill Patients with Decision Making Capacity and No Further Therapeutic Options Request Indefinite Life Support.Jason N. Batten, Elizabeth Dzeng, Stuart Finder, Jacob A. Blythe & Michael Nurok - 2023 - American Journal of Bioethics 23 (6):21-23.
    Some patients who are dependent on extracorporeal membrane oxygenation (ECMO) are alert and retain capacity to participate in decision-making, including decisions regarding whether to continue life...
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  • A Bridge to Nowhere.Seth Hollander & Danton Char - 2023 - American Journal of Bioethics 23 (6):54-56.
    In the pediatric heart-failure population, severity of illness often forces therapeutic decisions to be made under time-pressure, such that mechanical circulatory support (MCS) can be offered as a...
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  • Bioethics and the Power Asymmetry Contextualizing Experience.Joseph A. Stramondo - 2023 - American Journal of Bioethics 23 (1):1-3.
    In “Bioethics and the Moral Authority of Experience,” Nelson et al. explore what they refer to as “The Paradox of Experience.” The authors characterize this paradox formally as follows:(A) Personal...
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  • The Moral Relevance of ECMO Bridge Maintenance.Andrew M. Courtwright - 2023 - American Journal of Bioethics 23 (6):52-54.
    Childress et al. (2023) have provided a cogent overview of the ethical considerations involved in withdrawing extracorporeal membrane oxygenation (ECMO) over a capacitated patient’s objection. Alth...
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  • The Divergence of Technical and Human Teleology.Roxanne E. Kirsch - 2023 - American Journal of Bioethics 23 (6):38-41.
    Childress et al. (2023) describe a disagreement between the competent patient and the physician recommending withdrawal of life-sustaining therapy (WLST). While the scenario is specific to ECMO, th...
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  • Bridge or Destination: Ethical Complexity, Emotional Unrest.Joel Frader, Erin Paquette, Kelly Michelson & Elaine Morgan - 2023 - American Journal of Bioethics 23 (6):44-46.
    The ethics of long-term Extracorporeal Membrane Oxygenation (ECMO) use, especially when organ recovery appears highly unlikely and the patient does not qualify for organ transplantation, are compli...
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  • Ethical Withdrawal of ECMO Support Over the Objections of Competent Patients.Dominic Wilkinson, John Fraser, Jacky Suen, Mioko Kasagi Suzuki & Julian Savulescu - 2023 - American Journal of Bioethics 23 (6):27-30.
    In their target article, Childress et al provide a detailed analysis of dilemmas arising from disagreement between an ICU team and a competent patient (Mr J) about dis/continuation of extra-corpore...
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  • “Sorry, but the Ethicist Said Your Life Isn’t Actually Worth Living”: Misunderstanding Ethics and the Role of the Ethics Consultant.Andy Kondrat - 2023 - American Journal of Bioethics 23 (6):24-27.
    In their target article, Childress et al. (2023) contemplate the ethical considerations associated with determining if and when life-sustaining interventions (in this case, ECMO) can be unilaterall...
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  • Why Deny ECMO-DT to the Incapacitated?Kyle E. Karches - 2023 - American Journal of Bioethics 23 (6):70-72.
    Childress et al. (2023) argue in favor of “ECMO-DT,” the provision of ECMO indefinitely as “destination therapy” in the ICU for patients who are dependent on the technology to sustain their lives....
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  • Fairly Distributing the Distributive Justice Argument Permits Stopping ECMO.Erica Andrist - 2023 - American Journal of Bioethics 23 (6):65-67.
    Childress and colleagues conclude that arguments from distributive justice do not justify discontinuing ECMO over a capacitated patient’s objections (Childress et al. 2023). However, this conclusio...
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  • The ECMO Bridge and 5 Paths.Arthur R. Derse - 2023 - American Journal of Bioethics 23 (6):1-4.
    Childress and coauthors present a case considering ECMO withdrawal over the objection of the conscious patient who is no longer a candidate for transplantation or other definitive therapeutic inter...
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  • When the Bridge Crumbles: Balancing ECMO-DT With Transplant Program Needs.Paul J. Hutchison, Neeraj Joshi & Katherine Wasson - 2023 - American Journal of Bioethics 23 (6):49-51.
    In their analysis Childress et al. (2023) suggest that withdrawal of extracorporeal membrane oxygenation (ECMO) over a patient’s dissent is not justified by existing ethical arguments. The alternat...
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  • Unilateral ECMO Withdrawal and the Argument From Distributive Justice.Daniel Edward Callies - 2023 - American Journal of Bioethics 23 (6):72-74.
    Childress and colleagues (2023) review several arguments that would support the unilateral withdrawal of ECMO (extracorporeal membrane oxygenation) against the wishes of a capacitated patient (Mr....
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  • The Human and Humanity that Differentiate Withholding from Withdrawing Life-Sustaining Therapy: An ECMO Bridge to Nowhere.Jonah Rubin, Ellen Robinson & Emily B. Rubin - 2023 - American Journal of Bioethics 23 (6):62-64.
    In this issue of American Journal of Bioethics, Childress et al. address one of the most challenging modern clinical ethical dilemmas: the awake, competent patient dependent on extracorporeal membr...
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  • Battle of the Bridge: Ethical Considerations Related to Withdrawal of ECMO Support for Pediatric Patients over Family Objections.Jenny Kingsley, Emily R. Berkman & Sabrina F. Derrington - 2023 - American Journal of Bioethics 23 (6):32-35.
    Childress et al. (2023) critically examine claims used to support unilateral withdrawal of life-sustaining ECMO over the objections of capacitated patients. The authors raise important concerns abo...
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