PACEMAKER SYNDROME AND CARDIOGENIC SHOCK SECONDARY TO DEVICE AT END OF LIFE DURING COVID-19 PANDEMIC

Extracorporeal membrane oxygenation has evolved, from a therapy that was selectively applied in the pediatric population in tertiary centers, to more widespread use in diverse forms of cardiopulmonary failure in all ages. We provide a practical review for cardiovascular clinicians on the application of veno-arterial extracorporeal membrane oxygenation in adult patients with cardiogenic shock, including epidemiology of cardiogenic shock, indications, contraindications, and the extracorporeal membrane oxygenation circuit. We also summarize cannulation techniques, practical management and troubleshooting, prognosis, and weaning and exit strategies, with attention to end of life and ethical considerations.

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Runaway Pacemaker Syndrome and Intermittent Nonoutput as Manifestations of End of Life of a VVI Pacemaker

Pacing and Clinical Electrophysiology ◽

10.1111/j.1540-8159.2000.tb00793.x ◽

2000 ◽

Vol 23 (12) ◽

pp. 2143-2144 ◽

Cited By ~ 7

Author(s):

ADAM BOHM ◽

LASZLO HAJDU ◽

ARNOLD PINTER ◽

GABOR DURAY ◽

ISTVAN PREDA

Keyword(s):

End Of Life ◽

Pacemaker Syndrome

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Much Ado About Fried Chicken: Abetting Aspiration or Respecting Autonomy?

American Journal of Speech-Language Pathology ◽

10.1044/2019_ajslp-18-0207 ◽

2019 ◽

Vol 28 (3) ◽

pp. 1356-1362

Author(s):

Laurence Tan Lean Chin ◽

Yu Jun Lim ◽

Wan Ling Choo

Keyword(s):

Palliative Care ◽

End Of Life ◽

Multidisciplinary Team ◽

Biopsychosocial Model ◽

Family Members ◽

Clinical Decisions ◽

Goals Of Care ◽

Complex Needs ◽

Aspiration Risk ◽

Patient Centric

Purpose Palliative care is a philosophy of care that encompasses holistic, patient-centric care involving patients and their family members and loved ones. Palliative care patients often have complex needs. A common challenge in managing patients near their end of life is the complexity of navigating clinical decisions and finding achievable and realistic goals of care that are in line with the values and wishes of patients. This often results in differing opinions and conflicts within the multidisciplinary team. Conclusion This article describes a tool derived from the biopsychosocial model and the 4-quadrant ethical model. The authors describe the use of this tool in managing a patient who wishes to have fried chicken despite aspiration risk and how this tool was used to encourage discussions and reduce conflict and distress within the multidisciplinary team.

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End-of-Life Issues for People Who Use AAC

Perspectives on Augmentative and Alternative Communication ◽

10.1044/aac14.3.15 ◽

2005 ◽

Vol 14 (3) ◽

pp. 15-19 ◽

Cited By ~ 2

Author(s):

Melanie Fried-Oken ◽

Lisa Bardach

Keyword(s):

End Of Life ◽

Life Issues ◽

End Of Life Issues

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Dysphagia in Hospice Care: The Roles of Social Work and Speech-Language Pathologists

Perspectives on Swallowing and Swallowing Disorders (Dysphagia) ◽

10.1044/sasd23.4.173 ◽

2014 ◽

Vol 23 (4) ◽

pp. 173-186 ◽

Cited By ~ 2

Author(s):

Deborah Hinson ◽

Aaron J. Goldsmith ◽

Joseph Murray

Keyword(s):

Social Work ◽

End Of Life ◽

Case Studies ◽

End Of Life Care ◽

Hospice Care ◽

Patient Communication ◽

Life Care ◽

Speech Language Pathologists ◽

Four Levels

This article addresses the unique roles of social work and speech-language pathologists (SLPs) in end-of-life and hospice care settings. The four levels of hospice care are explained. Suggested social work and SLP interventions for end-of-life nutrition and approaches to patient communication are offered. Case studies are used to illustrate the specialized roles that social work and SLP have in end-of-life care settings.

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