"Continuous Positive Airway Pressure on Venovenous extracorporeaL Membrane Oxygenation for Acute respIratory Distress syndrOme"

Exclusion Criteria

• •1. Age \< 18
• •2. Pregnancy or breastfeeding
• •3. Initiation of VV-ECMO \> 48 h (maximum tolerance : +2h)
• •4. Cardiac arrest with cumulated no flow time \&amp;gt;10 minutes before ECMO (within 48 hours prior to inclusion)
• •5. Irreversible neurological pathology
• •6. End-stage chronic lung disease
• •7. Contraindications for high PEEP level: untreated pneumothorax, barotrauma
• •8. Irreversible ARDS with no hope for lung function recovery
• •9. Patient moribund on the day of randomization, SAPS II \&amp;gt;90
• •10. Liver cirrhosis (Child B or C)
• •11. Lung transplantation
• •12. Burns on more than 20 % of the body surface
• •13. Participation in another interventional study or being in the exclusion period at the end of a previous study, expect DRESSING-ECMO trial, which evaluates the use of sterile adhesive transparent dressings impregnated with Chlorhexidine gluconate on the cumulative incidence of ECMO cannula-related infection episodes.
• •14. Individuals under guardianship, or permanently legally incompetent adults