Ethical dilemmas surrounding the use of ventricular assist devices in supporting patients with end-stage organ dysfunction.

摘要: Abstract Successful practice of cardiovascular medicine requires familiarity with the complex ethical issues that accompany therapeutic innovation and diffusion. Even as technologies transition from experimental to standard care, challenges remain. Mechanical circulatory support devices, for instance, are increasingly conceptualized conventional therapies. Despite this, or perhaps because it, surrounding use these devices in patients end-stage organ dysfunction becoming apparent. In this paper, we provide an introduction considerations related ventricular assist (VADs) failure, focusing on three stages decision points: initiation, continued use, deactivation. Our goal is not exhaustively resolve dilemmas but illustrate how relate making.