Comment on “Awake ECMO for Mid‐Tracheal Obstruction: When a Tracheostomy Isn't Enough”

Key Points

• To evaluate the use of awake VV-ECMO in patients with severe central airway obstruction.
• Case discussion of awake VV-ECMO application
• Assessment of patient safety during airway interventions
• Review of multidisciplinary management approaches
• Awake VV-ECMO maintains spontaneous ventilation
• Facilitates complex airway interventions safely
• Offers an alternative when conventional management is inadequate