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.
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 email@example.com.