ReviewCritical care (London, England)2021
Ethics in extracorporeal life support: a narrative review.
Review in Critical care (London, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed.
- Organ donation after ECPR: ethical challenges and clinical implications.Critical care (London, England) · 2026Review
- Compassionate Extracorporeal Membrane Oxygenation Discontinuation: A Narrative Review and Practical Process Model for Reliable End-of-Life Care.Healthcare (Basel, Switzerland) · 2026Review
- Decisional conflict among Chinese family caregivers prior to ECMO initiation: a cross-sectional study.Scientific reports · 2025Article
- UK consensus statement on priorities to support the process of withdrawal of veno-venous extracorporeal membrane oxygenation.British journal of anaesthesia · 2025Article
- Prognosis After Seven Days of Veno-Venous Extracorporeal Membrane Oxygenation Support.Artificial organs · 2025Article
- Ethical Issues in Uncontrolled Donation After Circulatory Determination of Death: A Scoping Review to Reveal Areas of Broad Consensus, and Those for Future Research.Transplant international : official journal of the European Society for Organ Transplantation · 2025Article
- [Ethical aspects in the context of extracorporeal life support systems (ECLS): consensus paper of the DGK, DGTHG and DGAI].Die Anaesthesiologie · 2024Review
- Extracorporeal Membrane Oxygenation Then and Now; Broadening Indications and Availability.Critical care clinics · 2023Review
- COVID-19 Extracorporeal Membrane Oxygenation Outcomes: Reporting One-Year Multidimensional Outcomes as Standard Practice.American journal of respiratory and critical care medicine · 2023Article
- "Death as the One Great Certainty": ethical implications of children with irreversible cardiorespiratory failure and dependence on extracorporeal membrane oxygenation.Frontiers in pediatrics · 2023Article
- Ethical Considerations in Ever-Expanding Utilization of ECLS: A Research Agenda.Frontiers in pediatrics · 2022Article
- Early extracorporeal membranous oxygenation and burn excision in severe burn and inhalation injury.Scars, burns & healingArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
During 50 years of extracorporeal life support (ECLS), this highly invasive technology has left a considerable imprint on modern medicine, and it still confronts researchers, clinicians and policymakers with multifarious ethical challenges. After half a century of academic discussion about the ethics of ECLS, it seems appropriate to review the state of the argument and the trends in it. Through a comprehensive literature search on PubMed, we identified three ethical discourses: (1) trials and evidence accompanying the use of ECLS, (2) ECLS allocation, decision-making and limiting care, and (3) death on ECLS and ECLS in organ donation. All included articles were carefully reviewed, arguments extracted and grouped into the three discourses. This article provides a narrative synthesis of these arguments, evaluates the opportunities for mediation and substantiates the necessity of a shared decision-making approach at the limits of medical care.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.