ECMO support during the first two waves of the corona pandemic-a survey of high case volume centers in Germany

Supady, Alexander, Michels, Guido, Lepper, Philipp M., Ferrari, Markus, Wippermann, Jens, Sabashnikov, Anton, Thiele, Holger, Hennersdorf, Marcus, Lahmer, Tobias, Boeken, Udo, Gummert, Jan, Tigges, Eike, Muellenbach, Ralf M., Spangenberg, Tobias, Wengenmayer, Tobias and Staudacher, Dawid L. . ECMO support during the first two waves of the corona pandemic-a survey of high case volume centers in Germany. Med Klin Intensivmed Notfmed. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 2193-6226

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DOI:10.1007/s00063-022-00951-3

Abstract

Background At the onset of the coronavirus pandemic, concerns were raised about sufficiency of available intensive care resources. In many places, routine interventions were postponed and criteria for the allocation of scarce resources were formulated. In Germany, some hospitals were at times seriously burdened during the course of the pandemic. Intensive care units in particular experienced a shortage of resources, which may have led to a restriction of services and a stricter indication setting for resource-intensive measures such as extracorporeal membrane oxygenation (ECMO). The aim of this work is to provide an overview of how these pressures were managed at large ECMO centers in Germany. Methods One representative of each major ECMO referral center in Germany was invited to participate in an online survey in spring 2021. Results Of 34 invitations that were sent out, the survey was answered by 23 participants. In all centers, routine procedures were postponed during the pandemic. Half of the centers increased the number of beds on which ECMO procedures could be offered. Nevertheless, in one-third of the centers, the start of at least one ECMO support was delayed because of a feared resource shortage. In 17% of centers, at least one patient was denied ECMO that he or she would have most likely received under prepandemic conditions. Conclusion The results of this online survey indicate that the experienced pressures and resource constraints led some centers to be cautious about ECMO indications.

Item Type:

Journal Article

Creators:

Creators	Email	ORCID	ORCID Put Code
Supady, Alexander	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Michels, Guido	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Lepper, Philipp M.	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Ferrari, Markus	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Wippermann, Jens	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Sabashnikov, Anton	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Thiele, Holger	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Hennersdorf, Marcus	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Lahmer, Tobias	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Boeken, Udo	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Gummert, Jan	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Tigges, Eike	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Muellenbach, Ralf M.	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Spangenberg, Tobias	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Wengenmayer, Tobias	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Staudacher, Dawid L.	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED