Abstract Introduction Veno-venous extracorporeal membrane oxygenation (VV-ECMO) provides the respiratory support in acute severe respiratory failure until the underlying acute lung pathology improves. VV-ECMO support for. Aim of the work We describe our experience in the management of the longest ECMO run in our center. https://www.spidertattooz.com/Army-Patch-16th-Sustainment-Brigade-color/