Heart Transplant Patient Selection and Preparation

Lampert, Brent C.; Ramani, Rama

doi:10.1007/978-1-4939-6377-5_11

Cited by 1 publication

(1 citation statement)

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“…In heart transplantation, the assessment of proportionality is realized before the transplant, during the patients’ selection for transplantation (Lampert and Ramani 2017 ). Even though the patient may be affected by rejection episodes, personality disorders, depressive symptoms, distortion of the self and psychological difficulties in managing the changes of identity, the health care team aims at preventing organ rejection and relapse during the follow up (Kraemer 2013 ).…”

Section: The Descriptive Approachmentioning

confidence: 99%

Is Left Ventricular Assist Device Deactivation Ethically Acceptable? A Study on the Euthanasia Debate

Roggi

Picozzi

2020

HEC Forum

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In the last decades, new technologies have improved the survival of patients affected by chronic illnesses. Among them, left ventricular assist device (LVAD) has represented a viable solution for patients with advanced heart failure (HF). Even though the LVAD prolongs life expectancy, patients’ vulnerability generally increases during follow up and patients’ request for the device withdrawal might occur. Such a request raises some ethical concerns in that it directly hastens the patient’s death. Hence, in order to assess the ethical acceptability of LVAD withdrawal, we analyse and examine an ethical argument, widely adopted in the literature, that we call the “descriptive approach”, which consists in giving a definition of life-sustaining treatment to evaluate the ethical acceptability of treatment withdrawal. Focusing attention on LVAD, we show criticisms of this perspective. Finally, we assess every patient’s request of LVAD withdrawal through a prescriptive approach, which finds its roots in the criterion of proportionality.

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Section: The Descriptive Approachmentioning

confidence: 99%