How I monitor lung function during mechanical ventilation and veno-venous extracorporeal membrane oxygenation for acute respiratory distress syndrome

Monitoring the respiratory system during MV and VV-ECMO in ARDS is essential to understand the interplay between the native and membrane lungs, both in controlled and assisted ventilation, where respiratory drive and effort are often unmeasured and overlooked. Careful selection and application of monitoring strategies therefore remain a cornerstone of safe management in these complex patients.