Palliative Care Impact on COVID-19 Patients Requiring Extracorporeal Membrane Oxygenation

Article Health Care Sciences & Services

Finishing Well: Compassionate Extracorporeal Membrane Oxygenation Discontinuation

Desiree S. Machado et al.

Summary: This article discusses the provision of quality end-of-life care for ECMO patients and proposes a compassionate framework to ensure a good death experience for patients and their families. The framework includes family meetings, clinical preparation, technical aspects, and bereavement support.

JOURNAL OF PAIN AND SYMPTOM MANAGEMENT (2022)

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Letter Critical Care Medicine

Association between Availability of Extracorporeal Membrane Oxygenation and Mortality in Patients with COVID-19 Eligible for Extracorporeal Membrane Oxygenation: A Natural Experiment

Whitney D. Gannon et al.

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE (2022)

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Article Health Care Sciences & Services

Palliative Care for Patients on Extracorporeal Membrane Oxygenation for COVID-19 Infection

Anirudh Rao et al.

Summary: This case series study describes the characteristics, outcomes, and palliative care actions for critically ill patients with COVID-19 on ECMO. Nearly half of the patients in this cohort died during hospitalization, with older patients showing a trend towards increased risk of death. The palliative care team provided services including psychosocial support, pain management, and non-pain symptom management.

AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE (2021)

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Article Respiratory System

Extracorporeal membrane oxygenation in patients with COVID-19 1-year experience

Koray Durak et al.

Summary: Patients with COVID-19 supported by ECMO had an overall survival rate of 41%. Less favorable outcomes were observed during the second wave, similar to international registries. Further research is needed to confirm this signal and identify predictors for mortality.

JOURNAL OF THORACIC DISEASE (2021)

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Article Surgery

Palliative Care for Extracorporeal Life Support: Insights From the National Inpatient Sample

Catherine Williamson et al.

Summary: This study examined the impact of palliative care (PC) consultation on resource utilization in patients receiving extracorporeal membrane oxygenation (ECMO). The results showed that while the use of PC consultation increased over the years, it did not have a significant effect on costs or duration of hospitalizations. Increased adaptation of PC in ECMO may improve end-of-life care without negatively impacting resource utilization, suggesting a need for further study in this area.

AMERICAN SURGEON (2021)

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Article Health Care Sciences & Services

The Role of Palliative Care in Withdrawal of Venoarterial Extracorporeal Membrane Oxygenation for Cardiogenic Shock

Sarah Godfrey et al.

Summary: This study evaluated the clinical characteristics of patients withdrawn from VA-ECMO and the role of palliative care consultation in the decision-making process. Results showed that shorter duration of VA-ECMO support and presence of brain injury were associated with fewer palliative care visits.

JOURNAL OF PAIN AND SYMPTOM MANAGEMENT (2021)

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