Pediatr Crit Care Med 2021 May 17. Epub 2021 May 17.
Department of Cardiology, Division of Cardiovascular Critical Care, Boston Children's Hospital, Boston, MA. Department of Pediatrics, Harvard Medical School, Boston, MA. School of Medicine, University of Queensland, Brisbane, QLD, Australia. Department of Pediatrics, Boston Children's Hospital, Boston, MA. Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Boston, MA. Division of Critical Care Medicine, Children's National Hospital, Washington, DC.
Decision-making surrounding extracorporeal membrane oxygenation initiation and decannulation has become a key challenge in critical care. Nuanced communication skills and transparent discussions about prognosis are imperative during this lifesaving, yet high-risk and burdensome intervention. Serious illness conversation guides are proving beneficial for patients, families and staff to communicate uncertainty and facilitate shared decision-making toward goal-concordant care. Read More