Re-ECMO for congenital diaphragmatic hernia: Is it worth the effort?

Retrospective analysis of 311 CDH patients over 28 years found that repeat ECMO after initial decannulation achieved 59% survival to discharge, with long-term survivors showing similar morbidity and quality of life compared to single-ECMO patients. The study supports offering second ECMO courses using the same clinical indications as initial treatment.