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The use of veno-venous Extra-corporeal Membrane Oxygenation (vv-ECMO) in adults with severe respiratory failure is increasing. Nutrition whilst on vv-ECMO is challenging as inadequate feeding, mainly due to gastric intolerance is common [1–4]. Our understanding of how to meet nutrient needs in this high-risk patient is limited.

An international survey of nutrition practices in adult patients receiving veno-venous ECMO