Mr. B is 65-year-old man, who has chronic severe heart failure.

Mr. B is 65-year-old man, who has chronic severe heart failure. He was admitted to the hospital for placement of a left ventricular assist device. However, he has a myocardial infarct peri procedure and is placed on ECMO. He is now 14 days post placement of the ECMO, and his kidneys are failing.

The daughter states her father does not want to continue treatment and wants to withdraw care. The primary care physician reports Mr. B has stated on numerous occasions he would want to do “Whatever is necessary to keep him alive” and proposes the patient does not currently have the capacity to request withdrawing life support. The primary care physician’s perspective is that despite the daughter being the health care proxy she is basing her decision on the patient who does not have the capacity to make the decision therefore, she should not be allowed to request withdrawal of care.

Question(s):

Do you see any ethical issues here?

 What course of action would you as a member of the surgical team suggest?

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