Abstract
Management of severe respiratory failure in a specialist centre which is capable of delivering a complex ‘bundle’ of care including a strict acute respiratory distress syndrome (ARDS) protocol, extracorporeal membrane oxygenation (ECMO), molecular adsorbent recycling system (MARS) and steroids, may improve outcomes when compared with conventional care. It is difficult to comment on the value of ECMO alone based on this study.
Level of evidence: 1+ (RCT with a low risk of bias)