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Key Clinical Message  After risk assessment, veno‐venous extracorporeal membrane oxygenation ( ECMO ) has been achieved in a superobese adult patient as a bridge to recovery of respiratory failure, despite the weight‐related difficulties. Early v‐v  ECMO  implantation could be considered to support and to conduct weaning both from sedation and from invasive mechanical ventilation, with the goal to perform physiokinesitherapy during awake  ECMO .

A case of veno‐venous extracorporeal membrane oxygenation for severe respiratory failure in a superobese patient