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The American Journal of Bioethics Volume 23, 2023 - Issue 6
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Open Peer Commentaries

Ethical Withdrawal of ECMO Support Over the Objections of Competent Patients

Dominic Wilkinsona University of Oxford;b John Radcliffe HospitalCorrespondence[email protected]
ORCID Iconhttps://orcid.org/0000-0003-3958-8633View further author information
ORCID Icon,
John Fraserc The University of QueenslandORCID Iconhttps://orcid.org/0000-0002-7012-2519View further author information
ORCID Icon,
Jacky Suenc The University of QueenslandORCID Iconhttps://orcid.org/0000-0002-0309-2524View further author information
ORCID Icon,
Mioko Kasagi Suzukid Tohoku University;e Tokyo Metropolitan Children’s Medical CenterView further author information
&
Julian Savulescuf Murdoch Children’s Research Institute;g National University Singapore Centre for Biomedical EthicsORCID Iconhttps://orcid.org/0000-0003-1691-6403View further author information
ORCID Icon
Pages 27-30 | Published online: 23 May 2023

REFERENCES

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  • Childress, A., T. Bibler, B. Moore, R. Nelson, J. Robertson-Preidler, O. Schuman, and J. Malek. 2023. From bridge to destination? Ethical considerations related to withdrawal of ECMO support over the objections of capacitated patients. The American Journal of Bioethics 23 (6):5–17. doi:10.1080/15265161.2022.2075959.
  • Levy, D., G. Lebreton, M. Pineton de Chambrun, G. Hékimian, J. Chommeloux, N. Bréchot, C. E. Luyt, P. Leprince, A. Combes, and M. Schmidt. 2021. Outcomes of patients denied extracorporeal membrane oxygenation during the Covid-19 pandemic in greater Paris, France. American Journal of Respiratory and Critical Care Medicine 204 (8):994–7. doi:10.1164/rccm.202105-1312LE.
  • Nelson-McMahan, K., L. A. Vricella, F. D. Stewart, J. Young, A. S. Shah, N. Hibino, and J. D. Coulson. 2020. Recovery from total acute lung failure after 20 months of extracorporeal life support. ASAIO Journal (American Society for Artificial Internal Organs: 1992) 66 (1):e11–14. doi:10.1097/MAT.0000000000000990.
  • Persson, I., and J. Savulescu. 2005. McMahan on the withdrawal of life-prolonging aid. Philosophical Books 46 (1):11–22. doi:10.1111/j.1468-0149.2005.0355c.x.
  • Raza, T. 2017. 300 plus days on ECMO – lessons learned. Qatar Medical Journal 2017 (1):49. doi:10.5339/qmj.2017.swacelso.49.
  • Wilkinson, D., and J. Savulescu. 2012. A costly separation between withdrawing and withholding treatment in ICU. Bioethics 26 (1):32–48. doi:10.1111/j.1467-8519.2010.01811.x.
  • Wilkinson, D. J. C., and J. Savulescu. 2011. Knowing when to stop: Futility in the ICU. Current Opinion in Anaesthesiology 24 (2):160–5. doi:10.1097/ACO.0b013e328343c5af.

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