A View from the Netherlands: Ethics as Interactive Evaluation

From 1991 to 1994 the Dutch Health Insurance Council financed research on Extracorporeal Membrane Oxygenation (ECMO). This is a technique for providing cardiopulmonary bypass to patients with pulmonary and/or cardiac failure. Most often, these patients are premature neonates. During ECMO, blood is d...

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Bibliographic Details
Published in:Cambridge quarterly of healthcare ethics 2001-01, Vol.10 (1), p.110-114
Main Authors: Reuzel, Rob, Van der Wilt, Gert Jan, Robbé, Pieter de Vries, ten Have, Henk
Format: Article
Language:English
Subjects:
Bioethics
Blood
Bypasses
Cardiopulmonary diseases
Design
Disability
Ethics
Evaluation
Extracorporeal membrane oxygenation
Gas exchange
Interviews
Neonates
Netherlands
NETWORKING NEWS
Newborn babies
Oxygenation
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Summary:From 1991 to 1994 the Dutch Health Insurance Council financed research on Extracorporeal Membrane Oxygenation (ECMO). This is a technique for providing cardiopulmonary bypass to patients with pulmonary and/or cardiac failure. Most often, these patients are premature neonates. During ECMO, blood is drained from the right atrium, pumped along a membrane where gas exchange takes place, and then redirected to the aorta. To prevent blood clotting, heparin is added. However, with the heparin added, the risk of hemorrhage is considerably increased. Therefore, both the chance of surviving and the chance of severe disability are higher with ECMO than with conventional treatment (i.e., ventilator support).
ISSN:0963-1801
1469-2147
DOI:10.1017/S0963180101001153