Ethical considerations regarding heart and lung transplantation and mechanical circulatory support during the COVID-19 pandemic: an ISHLT COVID-19 Task Force statement

被引：26

作者：

Holm, Are M. ^{[1
,2
]}

Mehra, Mandeep R. ^{[3
]}

Courtwright, Andrew ^{[4
]}

Teuteberg, Jeffrey ^{[5
]}

Sweet, Stuart ^{[6
]}

Potena, Luciano ^{[7
]}

Singer, Lianne G. ^{[8
]}

Farrero, Marta ^{[9
]}

Shullo, Michael A. ^{[10
]}

Benza, Raymond ^{[11
]}

Ensminger, Stephan ^{[12
]}

Aslam, Saima ^{[13
]}

机构：

[1] Oslo Univ Hosp, Dept Resp Med, Oslo, Norway

[2] Univ Oslo, Fac Med, Oslo, Norway

[3] Harvard Med Sch, Brigham & Womens Hosp, Ctr Adv Heart Dis, Boston, MA 02115 USA

[4] Hosp Univ Penn, Div Pulm & Crit Care Med, 3400 Spruce St, Philadelphia, PA 19104 USA

[5] Stanford Univ, Med Ctr, Div Cardiovasc Med, Stanford, CA 94305 USA

[6] Washington Univ, Sch Med, Div Allergy & Pulm Med, St Louis, MO USA

[7] Bologna Univ Hosp, Cardiovasc Dept, Bologna, Italy

[8] Univ Toronto, Univ Hlth Network, Dept Med, Toronto, ON, Canada

[9] Hosp Clin Barcelona, Adv Heart Failure Unit, Barcelona, Spain

[10] West Virginia Univ Hosp, Morgantown, WV USA

[11] Ohio State Univ, Div Cardiovasc Dis, Columbus, OH 43210 USA

[12] Univ Med Ctr Schleswig Holstein, Dept Cardiac & Thorac Vasc Surg, Campus Lubeck, Lubeck, Germany

[13] Univ Calif San Diego, Div Infect Dis & Global Publ Hlth, 4510 Execut Dr,MC 7745, San Diego, CA 92121 USA

来源：

JOURNAL OF HEART AND LUNG TRANSPLANTATION | 2020年 / 39卷 / 07期

关键词：

COVID-19; thoracic transplant; MCS; ethics; SARS-CoV-2;

D O I：

10.1016/j.healun.2020.04.019

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

To understand the challenges for thoracic transplantation and mechanical circulatory support during the current coronavirus disease 2019 pandemic, we propose separating the effects of the pandemic into 5 distinct stages from a healthcare system perspective. We discuss how the classical ethical principles of utility, justice, and efficiency may need to be adapted, and we give specific recommendations for thoracic transplantation and mechanical circulatory support centers to balance their clinical decisions and strategies for advanced heart and lung disease during the current pandemic. (C) 2020 International Society for Heart and Lung Transplantation. All rights reserved.

引用

页码：619 / 626

页数：8

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