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

Ethical considerations regarding heart and lung transplantation and mechanical circulatory support during the COVID-19 pandemic: an ISHLT COVID-19 Task Force statement. The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation Holm, A. M., Mehra, M. R., Courtwright, A. n., Teuteberg, J. n., Sweet, S. n., Potena, L. n., Singer, L. G., Farrero, M. n., Shullo, M. A., Benza, R. n., Ensminger, S. n., Aslam, S. n. 2020

Abstract

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.

View details for DOI 10.1016/j.healun.2020.04.019

View details for PubMedID 32505492