NTI Recorded Session NTI25243

Palliative ECMO Decannulation: An Ethical, Evidence-Based Approach When Enough Becomes Enough

Author(s): Richard Arbour, MSN,RN,CCRN,CNRN,CCNS,CCTC,FAAN,FCCM; Orion L Garcia, RN BSN CCRN; Mackenzie Abate, DNP, CRNP

Contact Hours 1.25

CERP A 1.25

Pharmacology Hours 0.31

Expires Dec 31, 2027

Topics: Pharmacology, ECMO, Palliative/End-of-life Care

Population: Adult, Pediatric

Role: APRN, Staff

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Fees
Member: Free
NonMember: $10.00
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Activity Summary

This session differentiates ECMO indications/contraindications as bridge to transplant, recovery or implanted support. When ECMO becomes futile, defining care direction is challenging. In this session, we examine clinical, ethical and family issues in creating interdisciplinary, evidenced-based templates for redirecting care to optimal symptom management, ECMO de-escalation/decannulation and natural death. High-level case studies highlight interdisciplinary care in defining futility, ethical issues, symptom management and ECMO down-titration to palliative decannulation and natural death, accenting APRN roles. Pharmacology content = 25%

Objectives

  • Define futility when ECMO contraindications are evident during an ECMO run as basis for therapy de-escalation to palliative decannulation.
  • Analyze ECMO endpoints, ethical issues and decision points during support to evaluate futility in determining change in care trajectory.
  • Devise a plan of care for optimal family communication, symptom management and ECMO de-escalation, ensuring a comfortable, dignified death.

Continuing Education Disclosure Statement

Criteria for Awarding Contact Hours

Learners must complete the entire activity and the associated evaluation AND read Implicit Bias impacts patient outcomes. No partial credit will be awarded.

Accreditation

American Association of Critical-Care Nurses is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.
Provider approved by the California Board of Registered Nursing, Provider number CEP 1036, for {contactHours} contact hours.

Disclosures

The Nurse Planner has determined that no individuals with the ability to control content of this activity have relevant relationships with ineligible companies.

Activities with pharmacotherapeutic credit are to assist the APRN in fulfilling their education requirements for licensure and certification renewals.

Refund Policy

Continuing Education Activities are nonrefundable.