Abstract

Extracorporeal membrane oxygenation is a lifesaving modality of mechanical support in patients with refractorysevere acute respiratory distress syndrome, among other indications. Despite the still limited experience, the practice of “awake” extracorporeal membrane oxygenation has merged as an option for respiratory management with several advantages like de-escalation of pharmacologic sedation. A 5-year-old girl with history of asthma was admitted because of status asthmaticus secondary to Rhinovirus infection. Pulmonary auscultation revealed an overall decrease in vesicular murmur with wheezing and patient’s chest radiograph demonstrated diffuse bilateral coalescent opacities.

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