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Vielerorts wurden Routineeingriffe eingeschr\u00e4nkt und Kriterien f\u00fcr die Zuteilung knapper Ressourcen formuliert. In Deutschland kam es regional im Verlauf der Pandemie zeitweise zu \u00dcberlastungssituationen in den Kliniken. Speziell auf Intensivstationen zeigte sich eine Ressourcenknappheit, die zur Einschr\u00e4nkung von Leistungen und zu einer strengeren Indikationsstellung f\u00fcr ressourcenintensive Ma\u00dfnahmen wie der extrakorporalen Membranoxygenierung (ECMO) gef\u00fchrt haben kann. Ziel dieser Arbeit ist es, einen \u00dcberblick \u00fcber den Umgang mit diesen Belastungen an gro\u00dfen ECMO-Zentren in Deutschland zu gewinnen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methodik<\/jats:title>\n                <jats:p>\u00dcber pers\u00f6nliche Ansprache wurde im Fr\u00fchjahr 2021 je ein Vertreter an gro\u00dfen ECMO-Zentren in Deutschland zur Teilnahme an einer Onlineumfrage eingeladen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Insgesamt wurden 34\u00a0Einladungen verschickt, die Umfrage wurde von 23\u00a0Teilnehmern beantwortet. In allen Zentren wurden im Verlauf der Pandemie Routineeingriffe verschoben. Die H\u00e4lfte der Zentren erh\u00f6hte die Anzahl von Betten, auf denen ECMO-Verfahren durchgef\u00fchrt werden konnten, in einem Drittel der Zentren wurde dennoch der Beginn mindestens einer ECMO-Unterst\u00fctzung wegen einer bef\u00fcrchteten Ressourcenknappheit verz\u00f6gert. In 17\u202f% der Zentren wurde mindestens einem Patienten eine ECMO verweigert, die der Patient unter den Bedingungen vor der Pandemie aller Voraussicht nach erhalten h\u00e4tte.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Diskussion<\/jats:title>\n                <jats:p>Die Ergebnisse dieser Onlineumfrage zeigen, dass die erlebten Belastungen und Ressourcenengp\u00e4sse in einigen Zentren zu einer zur\u00fcckhaltenden ECMO-Indikationsstellung f\u00fchrten.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00063-022-00951-3","type":"journal-article","created":{"date-parts":[[2022,9,8]],"date-time":"2022-09-08T09:03:06Z","timestamp":1662627786000},"page":"492-498","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["ECMO-Unterst\u00fctzung w\u00e4hrend der ersten 2\u00a0Wellen der Coronapandemie\u00a0\u2013 eine Umfrage an Zentren mit hohen Fallzahlen in Deutschland","ECMO support during the first two waves of the corona pandemic\u2014a\u00a0survey of high case volume centers in Germany"],"prefix":"10.1007","volume":"118","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4056-3652","authenticated-orcid":false,"given":"Alexander","family":"Supady","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guido","family":"Michels","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philipp M.","family":"Lepper","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Markus","family":"Ferrari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jens","family":"Wippermann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anton","family":"Sabashnikov","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Holger","family":"Thiele","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcus","family":"Hennersdorf","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tobias","family":"Lahmer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Udo","family":"Boeken","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"Gummert","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eike","family":"Tigges","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ralf M.","family":"Muellenbach","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tobias","family":"Spangenberg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tobias","family":"Wengenmayer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dawid L.","family":"Staudacher","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,9,8]]},"reference":[{"key":"951_CR1","doi-asserted-by":"publisher","first-page":"477","DOI":"10.1007\/s00063-020-00708-w","volume":"115","author":"G Marckmann","year":"2020","unstructured":"Marckmann\u00a0G, Neitzke\u00a0G, Schildmann\u00a0J et al (2020) Decisions on the allocation of intensive care resources in the context of the COVID-19 pandemic: Clinical and ethical recommendations of DIVI, DGINA, DGAI, DGIIN, DGNI, DGP, DGP and AEM. 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