Death, Devices, and Double Effect

HEC Forum : an Interdisciplinary Journal on Hospitals' Ethical and Legal Issues
Stuart G Finder, Michael Nurok

Abstract

Along with the growing utilization of the total artificial heart (TAH) comes a new set of ethical issues that have, surprisingly, received little attention in the literature: (1) How does one apply the criteria of irreversible cessation of circulatory function (a core concept in the Uniformed Determination of Death Act) given that a TAH rarely stops functioning on its own? (2) Can one appeal to the doctrine of double effect as an ethical rationale for turning off a TAH given that this action directly results in death? And, (3) On what ethical grounds can a physician turn off a TAH in view of the fact that either the intent of such an action or the outcome is always, and necessarily, death? The aim of this article is not to answer these questions but to highlight why these questions must be explored in some depth given the growing use of TAH technology.

References

Oct 1, 1991·The Journal of Medicine and Philosophy·D B Marquis
Jan 1, 1989·Law, Medicine & Health Care : a Publication of the American Society of Law & Medicine·R J Devettere
Oct 20, 2001·The Journal of Law, Medicine & Ethics : a Journal of the American Society of Law, Medicine & Ethics·James DuBois
Aug 14, 2003·JAMA : the Journal of the American Medical Association·Charles L SprungUNKNOWN Ethicus Study Group
Sep 19, 2003·Intensive Care Medicine·Alberto GianniniEnrico Maria Tacchi
Jun 8, 2004·Theoretical Medicine and Bioethics·Alison McIntyre
Jun 15, 2006·Bioethics·Lynn A Jansen
Dec 23, 2008·The Journal of Medicine and Philosophy·Charles C Camosy
Jul 15, 2009·Bioethics·Franklin G MillerDan W Brock
Jun 12, 2010·Nursing Philosophy : an International Journal for Healthcare Professionals·Peter AllmarkAngela Mary Tod
Aug 24, 1968·British Medical Journal·S S Gilder
Jan 18, 2012·Critical Care Medicine·Robert D TruogDouglas B White
Jun 29, 2014·The Journal of Medicine and Philosophy·Bryan C Pilkington
Jan 5, 2016·Journal of Religion and Health·Grace S ChungFarr A Curlin
Oct 5, 2017·Annals of Internal Medicine·Lois Snyder SulmasyUNKNOWN Ethics, Professionalism and Human Rights Committee of the American College of Physicians
Jan 18, 2018·The Journal of Medicine and Philosophy·Ben Bronner
Feb 24, 2018·BMC Pediatrics·Hans Ulrich BucherUNKNOWN Swiss Neonatal End-of-Life Study Group
Mar 17, 2019·The Journal of Medicine and Philosophy·Joseph Wiinikka-Lydon

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Citations

Mar 29, 2019·Tropical Medicine and Infectious Disease·Cathyryne K MannerJennifer Dent
Mar 26, 2021·Cambridge Quarterly of Healthcare Ethics : CQ : the International Journal of Healthcare Ethics Committees·Kelsey Gipe

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