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An algorithm for the management of hypoxia in obese patients with acute respiratory distress syndrome (ARDS) that is refractory to the mechanical ventilator and standard venovenous (VV) extracorporeal membrane oxygenation (ECMO) cannulation. PEEP, Positive end-expiratory pressure; ICU, intensive care unit; LPM, liters per minute; VVV, veno-venovenous.
