D-stage lung disease (9,12). Historically, ECMO use in this setting has beenD-stage lung disease (9,12). Historically, ECMO use in this setting has been associated with poor outcomes which led many to condemn the practice (13,14). However, in recent years, technical advances have resulted in the extended use of various extracorporeal life support (ECLS) devices, suchas ECMO, in the managemen