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Die medizinische und ethische Abw\u00e4gung maternaler und fetaler Risiken und die Priorisierung von Therapieoptionen stellen eine gro\u00dfe Herausforderung auf der Intensivstation dar. Eine enge interdisziplin\u00e4re Abstimmung ist unabdingbar.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ziel der Arbeit<\/jats:title>\n                <jats:p>Beschreibung und Diskussion intensivmedizinischer Behandlungsstrategien und des perinatalen an\u00e4sthesiologischen Managements bei Patientinnen mit COVID-19-ARDS (CARDS).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methoden<\/jats:title>\n                <jats:p>Analyse von demografischen Daten, Anamnese, klinischem Management, Komplikationen, Indikationen und Management der extrakorporalen Membranoxygenierung (ECMO) sowie des kindlichen \u00dcberlebens aller schwangeren Patientinnen, die zwischen M\u00e4rz und November 2021 auf der an\u00e4sthesiologischen Intensivstation eines deutschen Universit\u00e4tsklinikums wegen eines schweren CARDS behandelt wurden.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Kohorte von 9 konsekutiven Patientinnen mit einem Durchschnittsalter von 30,3\u00a0Jahren (Min\u2013Max: 26 bis 40\u00a0Jahre) und einem Schwangerschaftsalter von 21\u202f+\u20093 bis 37\u202f+\u20092\u00a0Wochen. Keine der Patientinnen war gegen SARS-CoV\u20112 geimpft. Zwei Patientinnen mussten mit inhalativem Stickstoffmonoxid und venoven\u00f6ser ECMO behandelt werden. Alle Frauen und 5\u00a0Neugeborene haben \u00fcberlebt. Zwei Patientinnen wurden mit intakter Schwangerschaft nach Hause entlassen. Alle Kinder wurden durch einen Kaiserschnitt entbunden. Es wurden 2 intrauterine fetale Todesf\u00e4lle beobachtet.\u00a0Keines der Neugeborenen wurde bei der Geburt positiv auf SARS-CoV\u20112 getestet.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Diskussion<\/jats:title>\n                <jats:p>Das peripartale Management erfordert eine enge interdisziplin\u00e4re Zusammenarbeit und sollte in der Fr\u00fchschwangerschaft vorrangig auf das m\u00fctterliche \u00dcberleben ausgerichtet sein. Die Bauchlagerung, ein wesentlicher, evidenzbasierter Eckpfeiler in der Therapie des akuten Atemnotsyndroms (ARDS), kann auch in fortgeschrittenen Schwangerschaftsstadien sicher angewendet werden. Inhalatives Stickstoffmonoxid (iNO) und extrakorporale Membranoxygenierung (ECMO) sollten als lebensrettende Behandlungsoptionen f\u00fcr sorgf\u00e4ltig ausgew\u00e4hlte Patientinnen in Betracht gezogen werden.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00101-024-01405-5","type":"journal-article","created":{"date-parts":[[2024,4,26]],"date-time":"2024-04-26T16:01:45Z","timestamp":1714147305000},"page":"385-397","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Die Schwangere mit COVID-19-ARDS auf der Intensivstation","Pregnant women with COVID-19 ARDS on the intensive care unit"],"prefix":"10.1007","volume":"73","author":[{"given":"J.","family":"Kalbhenn","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"O.","family":"Marx","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"M\u00fcller-Peltzer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Kunze","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"B\u00fcrkle","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Bansbach","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,4,26]]},"reference":[{"key":"1405_CR1","unstructured":"RKI (2023) Coronavirus SARS-CoV\u20112. www.rki.de\/DE\/Content\/InfAZ\/N\/Neuartiges_Coronavirus\/nCoV_node.html. 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