2016
A major miss in prognostication after cardiac arrest: Burst suppression and brain healing
Becker D, Schiff N, Becker L, Holmes M, Fins J, Horowitz J, Devinsky O. A major miss in prognostication after cardiac arrest: Burst suppression and brain healing. Epilepsy & Behavior Reports 2016, 7: 1-5. PMID: 28053858, PMCID: PMC5198796, DOI: 10.1016/j.ebcr.2016.09.004.Peer-Reviewed Original ResearchCardiac arrestBurst suppressionTherapeutic hypothermiaLoss of brainstem reflexesMechanisms of therapeutic hypothermiaOut-of-hospital cardiac arrestAbsent motor responseStatus epilepticusBrainstem reflexesNeuronal cell deathFunctional capacityStandard criteriaCell deathArrestNegative endpointsHypothermiaMotor responseEnd-of-life decisionsBrain healingEnd-of-lifeEpilepticusSuppressionEndpoint
2014
Extracorporeal membrane oxygenation in adults: A brief review and ethical considerations for nonspecialist health providers and hospitalists
Meltzer E, Ivascu N, Acres C, Stark M, Kirkpatrick J, Paul S, Sedrakyan A, Fins J. Extracorporeal membrane oxygenation in adults: A brief review and ethical considerations for nonspecialist health providers and hospitalists. Journal Of Hospital Medicine 2014, 9: 808-813. PMID: 25332093, DOI: 10.1002/jhm.2262.Peer-Reviewed Original ResearchConceptsExtracorporeal membrane oxygenationMembrane oxygenationVA-ECMOTreated with extracorporeal membrane oxygenationManaging extracorporeal membrane oxygenationVenoarterial extracorporeal membrane oxygenationVenovenous extracorporeal membrane oxygenationProvision of ECMODiscontinuation of treatmentConsistent with patient preferencesClinical responseRespiratory failureGoals of careHeart failureCardiac arrestCo-manage patientsCounseling familiesPatient preferencesPatientsPatient referralHealth providersHealthcare providersEthical considerationsHospitalistsProviders