id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-257814-h7n4nw4w	Holm, Are M.	Ethical Considerations regarding Heart and Lung Transplantation and Mechanical Circulatory Support during the COVID-19 Pandemic: An ISHLT COVID-19 Task Force Statement	2020-04-25		.txt	text/plain	2220	118	44	We discuss how the classical ethical principles of utility, justice and efficiency may need to be adapted, and we give specific recommendations for thoracic transplantation and mechanical circulatory support centers to balance their clinical decisions and strategies for advanced heart and lung disease during the current pandemic. We outline the classical ethical framework that guides heart and lung transplantation and mechanical circulatory support (MCS) and discuss adaptations to this construct during different stages of the ongoing pandemic. In order to analyze how to adjust treatment strategies for advanced heart and lung disease, we propose separating the effects of the COVID-19 pandemic from a healthcare system perspective into different stages. Recommendation: Similar rationing for all kinds of treatment and a commitment to maximize the number of lives saved suggests the development of an appropriate process to allocate critical care resources to patients who may become organ donors.	./cache/cord-257814-h7n4nw4w.txt	./txt/cord-257814-h7n4nw4w.txt