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Annals of Intensive Care
Fig. 2 | Annals of Intensive Care

Fig. 2

From: A rational approach on the use of extracorporeal membrane oxygenation in severe hypoxemia: advanced technology is not a panacea

Fig. 2

Illustration of therapeutic options in ARDS patients that should be considered prior to employing ECMO treatment. Equal weight is given to the management of asynchrony, transpulmonary pressure (PL) targets, and administration of neuromuscular blocking agents, in order to illustrate that specific patients may benefit from specific strategies (e.g. PL measurements in obese patients, and paralysis in patients with high respiratory drive or reverse triggering (entrainment) despite sedation). VT, tidal volume; Pplat, plateau pressure; VV ECMO, veno-venous extracorporeal membrane oxygenation

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