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The ethics of deactivating implanted cardioverter defibrillators

- annals.org [PDF] 
JT Berger - Annals of internal medicine, 2005 - Am Coll Physicians
Implantable cardioverter defibrillators are life-saving devices for many patients with cardiac
disease. Recipients of these devices, nevertheless, often suffer from progressive comorbid and
cardiac conditions. Therefore, physicians should anticipate situations in which the ...
Cited by 28 - Related articles - All 5 versions

Dying and defibrillation: a shocking experience


V Nambisan, D Chao - Palliative medicine, 2004 - pmj.sagepub.com
Page 1. http://pmj.sagepub.com Palliative Medicine DOI: 10.1191/
0269216304pm907cr 2004; 18; 482 Palliat Med Vinod Nambisan and David Chao
Dying and defibrillation: a shocking experience http://pmj.sagepub.com/cgi ...
Cited by 17 - Related articles - BL Direct - All 3 versions

Cardiac pacemakers and implantable defibrillators in terminal care


TC Braun, NA Hagen, RE Hatfield, DG Wyse - Journal of pain and symptom …, 1999 - Elsevier
The use of cardiac pacemakers and arrhythmia control devices is increasingly common. The
presence of a previously placed pacemaker or implantable cardioverter–defibrillator (ICD) in
a terminally ill patient may result in medical and ethical issues for the patient, family, and ...
Cited by 25 - Related articles - All 6 versions

[PDF] Ethical analysis of withdrawal of pacemaker or implantable cardioverter- …


PS Mueller, CC Hook, DL … - Mayo Clinic Proceedings, 2003 - mayoclinicproceedings.com
Page 1. Mayo Clin Proc, August 2003, Vol 78 959 Withdrawal of Pacemaker or ICD
Support Mayo Clin Proc. 2003;78:959-963 959 © 2003 Mayo Foundation for Medical
Education and Research Original Article Ethical Analysis ...
Cited by 42 - Related articles - View as HTML - BL Direct - All 9 versions

Ethical issues in the management of geriatric cardiac patients


LL Basta, ML O Neal - American Journal of Geriatric Cardiology, 2004 - medscape.com
By contrast, WW had numerous medical ailments. He had had diabetes mellitus for more than
20 years, plus he had hypertension, moderate renal failure with a serum creatinine of 3
mg/dL, and an evacuated subdural hematoma. Cardiovascular system review revealed ...
Cited by 14 - Related articles - BL Direct - All 10 versions

Withdrawing implantable defibrillator shock therapy in terminally ill patients


WR Lewis, DL Luebke, NJ Johnson, MD Harrington … - The American journal of …, 2006 - Elsevier
The purpose of this study is to review a multidisciplinary strategy used to identify patients with
terminal illnesses and initiate withdrawal of implantable cardioverter defibrillator (ICD) shock
therapy as part of a comprehensive comfort care approach. With indications for ICDs ...
Cited by 17 - Related articles - All 5 versions

Management of implantable cardioverter defibrillators in end-of-life care

- annals.org [PDF] 
NE Goldstein, R Lampert, E Bradley, J Lynn, … - Annals of internal …, 2004 - Am Coll Physicians
Results: Next of kin reported that clinicians discussed deactivat- ing the ICD in only 27 of the
100 cases. Most discussions oc- curred in the last few days of life. Family members reported
that 8 patients received a shock from their ICD in the minutes before death. Limitations: ...
Cited by 61 - Related articles - BL Direct - All 10 versions

[PDF] End-of-life decisions in ICD patients with malignant tumors


R Kobza, P Erne - Pace-Pacing and Clinical Electrophysiology, 2007 - ksl.ch
Introduction The use of implantable cardioverter-defi- brillators (ICDs) is established as both
primary and secondary prophylaxis of sudden cardiac death. As recent studies have shown a
survival benefit mainly in patients with a left ventricular ejection fraction less than 35% ...
Cited by 7 - Related articles - View as HTML - BL Direct - All 6 versions

End-of-life and other ethical issues related to pacemaker and defibrillator use in the …


LL Basta - American Journal of Geriatric Cardiology, 2006 - interscience.wiley.com
In the past decade, the rate of implantation of pacemakers and cardioverter-defibrillators in the
elderly with cardiac impairment has soared. As patients near the end of life, interventions become
more complicated and expensive, and less effective. In this context, "informed consent" ...
Cited by 7 - Related articles - BL Direct - All 3 versions

Deactivating the implantable cardioverter-defibrillator: A biofixture analysis


FA Paola, RM Walker - Southern Medical Journal, 2000 - journals.lww.com
IN THE PAST 20 YEARS, we have seen a remark- able expansion of technologies designed
to prolong life. Among these is the automatic ICD. This surgically implanted, battery-pow- ered
device is capable of auto-resuscitating a patient by recognizing and terminating lethal ...
Cited by 18 - Related articles - All 7 versions


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