Title

Should Pediatric Patients Be Prioritized When Rationing Life-Saving Treatments During COVID-19 Pandemic.

Document Type

Article

Publication Date

9-2020

Identifier

DOI: 10.1542/peds.2020-012542

Abstract

Coronavirus disease 2019 can lead to respiratory failure. Some patients require extracorporeal membrane oxygenation support. During the current pandemic, health care resources in some cities have been overwhelmed, and doctors have faced complex decisions about resource allocation. We present a case in which a pediatric hospital caring for both children and adults seeks to establish guidelines for the use of extracorporeal membrane oxygenation if there are not enough resources to treat every patient. Experts in critical care, end-of-life care, bioethics, and health policy discuss if age should guide rationing decisions.

Journal Title

Pediatrics

Volume

146

Issue

3

MeSH Keywords

Adolescent; Child; Clinical Decision-Making; Coronavirus Infections; Critical Care; Extracorporeal Membrane Oxygenation; Female; Health Care Rationing; Humans; Male; Needs Assessment; Pandemics; Pneumonia, Viral; Severe Acute Respiratory Syndrome; United States

Keywords

Adolescent; Child; Clinical Decision-Making; Coronavirus Infections; Critical Care; Extracorporeal Membrane Oxygenation; Female; Health Care Rationing; Humans; Male; Needs Assessment; Pandemics; Pneumonia, Viral; Severe Acute Respiratory Syndrome; United States

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