Free for Weaning ECMO vs Respiratory Driven Study

Inclusion Criteria

• •Adult patients aged 18 years or older Patient whose trusted person has given consent for participation in the study
• •Patient on veno-venous ECMO with weaning criteria, including:
• •Resolution of the cause of ARDS
• •Absence of hemodynamic instability, defined as norepinephrine dose ≤ 0.5 μg/kg/min for at least 3 hours
• •Use of a ventilatory mode that allows spontaneous ventilation (VS-AI, BiPAP, or APRV)
• •Maximum inspiratory pressure ≤ 28 cm H2O, with a maximum driving pressure ≤ 15 cm H2O, enabling tidal volumes between 4 and 8 ml/kg of predicted body weight (PBW)
• •ECMO membrane sweep flow ≤ 2 L/min
• •Patient protected by social security