Secondary Logo

Journal Logo

Institutional members access full text with Ovid®

“Wishes Unknown:” A Case Report

Perez-Protto, Silvia E. MD, MS; Rowbottom, James R. MD; Taylor, Mark A. MD, FASE

doi: 10.1213/XAA.0000000000001030
Case Reports

We report the case of a 55-year-old woman who required extracorporeal membrane oxygenation for extreme respiratory distress after a liver transplant and eventually died. As is so often the case, this patient’s values and wishes were not documented before she had a risky surgical procedure. Anesthesiologists, in partnership with surgeons, can participate in preoperative discussions exploring wishes and values and document them in advance directives which will help clinicians respect patients’ preferences.

From the Anesthesiology Institute, Cleveland Clinic, Cleveland, Ohio.

Accepted for publication March 26, 2019.

Funding: None.

The authors declare no conflicts of interest.

Address correspondence to Silvia E. Perez-Protto, MD, MS, Critical Care Center and Outcomes Research Department, Anesthesiology Institute, Cleveland Clinic, 9500 Euclid Ave/G58, Cleveland, OH 44195. Address e-mail to

Copyright © 2019 International Anesthesia Research Society
You currently do not have access to this article

To access this article:

Note: If your society membership provides full-access, you may need to login on your society website