xtracorporeal membrane oxygenation (ECMO) may offer lifesaving treatment in severe pulmonary contusion or acute respiratory distress syndrome when conventional treatments have failed. 1,2 Although ECMO has become the standard treatment for neonatal severe respiratory failure, interest in adult ECMO weakened because of the high mortality until investigators 3 began dictating that it should be used in children and in adult respiratory failure.Use in trauma is restricted 4,5 because of the risk of systemic anticoagulation in patients with multiple trauma.

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