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. 2021 Apr;9(4):326-328.
doi: 10.1016/S2213-2600(21)00131-4.

Should we ration extracorporeal membrane oxygenation during the COVID-19 pandemic?

Alexander Supady  1 , Jenelle Badulak  2 , Laura Evans  3 , J Randall Curtis  4 , Daniel Brodie  5
Affiliations

Should we ration extracorporeal membrane oxygenation during the COVID-19 pandemic?

Alexander Supady et al. Lancet Respir Med. 2021 Apr.
No abstract available

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Figures

Figure
Figure
Transitioning between standards of care during an acute crisis Before life-saving treatments are rationed, efforts should be taken to extend available resources and to use them most efficiently and effectively. These efforts have to be continued, even after entering crisis standards of care, to return to a previous step as soon as possible. Depending on the ethical principles adopted and patient characteristics, levels of ECMO offered could be the same as those provided during normal circumstances, reduced, or even increased during the transition from normal to crisis standards of care. ECMO=extracorporeal membrane oxygenation.
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References

    1. Emanuel EJ, Persad G, Upshur R, et al. Fair allocation of scarce medical resources in the time of COVID-19. N Engl J Med. 2020;382:2049–2055. - PubMed
    1. Abrams D, Lorusso R, Vincent JL, Brodie D. ECMO during the COVID-19 pandemic: when is it unjustified? Crit Care. 2020;24:507. - PMC - PubMed
    1. Karagiannidis C, Mostert C, Hentschker C, et al. Case characteristics, resource use, and outcomes of 10 021 patients with COVID-19 admitted to 920 German hospitals: an observational study. Lancet Respir Med. 2020;8:853–862. - PMC - PubMed
    1. Peek GJ, Elbourne D, Mugford M, et al. Randomised controlled trial and parallel economic evaluation of conventional ventilatory support versus extracorporeal membrane oxygenation for severe adult respiratory failure (CESAR) Health Technol Assess. 2010;14:1–46. - PubMed
    1. Abrams D, Ferguson ND, Brochard L, et al. ECMO for ARDS: from salvage to standard of care? Lancet Respir Med. 2019;7:108–110. - PubMed

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