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Annals of Intensive Care
Fig. 1 | Annals of Intensive Care

Fig. 1

From: Standardized approach for extubation during extracorporeal membrane oxygenation in severe acute respiratory distress syndrome: a prospective observational study

Fig. 1

Flowchart for extubation during extracorporeal membrane oxygenation (ECMO) in severe acute respiratory distress syndrome (ARDS). Following initial patient stabilization and optimization of ECMO support, conscious sedation was pursued in the absence of circulatory shock, significant bleeding, or acute brain injury. A daily assessment of clinical and gas exchange criteria based on an Extracorporeal Life Support Organization guideline [11] was then performed, with extubation during ECMO after validation by a dedicated intensive care medicine specialist. CTRL, group without extubation during ECMO; EXT, group with extubation during ECMO; IMV, invasive mechanical ventilation; MV, minute ventilation; PEEP, positive end-expiratory pressure; PF, the ratio between the partial pressure of oxygen in arterial blood (PaO2; mmHg) and the fraction of inspired oxygen (FiO2; %); Sw, ECMO sweep gas flow

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