RESULTS: Four patients met the criteria. Three patients required ECMO therapy secondary to acute hypoxic respiratory failure secondary to infectious causes. Patient 1 was on VV ECMO for 13 days and was extubated on day 10 of ECMO therapy. Patient 2 was on VV ECMO for 6 days and was extubated on day 4 for ECMO therapy. Patient 3 was on VV ECMO for 25 days and was never intubated. The fourth patient was placed on ECMO therapy secondary to asthma exacerbation for 1 day and was extubated and weaned off ECMO the very next day. All patients had f/up visits as outpatient in our clinic where they had no residual pulmonary symptoms and their radiographs showed continued improvement in their chest xrays to their baseline. All patients requiring intubation were placed on high flow nasal cannula post extubation and later on weaned off.