Abstract
Floerchinger and colleagues [1] present a case series of 18 patients who were converted from conventional veno-arterial (VA) extracorporeal membrane oxygenation (ECMO) to a pumpless arteriovenous (AV) configuration called a pumpless extracorporeal lung assist (PECLA). The authors contend that by removing the pump, the system becomes less complex with fewer complications while still primarily performing CO2 removal, which allows a gentler ventilatory strategy to be used. The goal of PECLA is to allow early weaning off the ventilator by managing CO2 removal.
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