Barotrauma is a common issue in patients with severe respiratory failure, often leading to bad outcomes, but ECMO (Extracorporeal Membrane Oxygenation) may help reduce this risk through lung-protective ventilation.
A review of studies found that ECMO was used in 45 patients, with 46.7% receiving it before invasive ventilation; it allowed for safer ventilation strategies in many cases.
The incidence of barotrauma was under 10% among these patients, and overall mortality was 17.8%, suggesting that ECMO can be a viable option to prevent barotrauma in respiratory failure.