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ARDS outcomes: a marker of critical care quality in the UK?
  1. Matt P Wise1,
  2. Nick Hart2,
  3. Paul J Frost1
  1. 1Adult Critical Care, University Hospital of Wales, Cardiff, UK
  2. 2Lane Fox Respiratory Unit, St Thomas' Hospital, Guy's and St Thomas' NHS Foundation Trust and King's College, London
  1. Correspondence to Dr Matt P Wise, Adult Critical Care, University Hospital of Wales, Cardiff CF14 4XW, UK; mattwise{at}

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Finney and colleagues'1 recent editorial discussed the results of the UK-based CESAR trial,2 which investigated extracorporeal membrane oxygenation (ECMO) in severe hypoxic respiratory failure. The editorialists concluded that this trial provided powerful support for the centralisation of care for severe acute respiratory failure (ARF) in a limited number of hospitals, with appropriate expertise and resources, including ECMO. Whilst this may be true, we suggest that CESAR also supports the contention that the …

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  • Competing interests None.

  • Provenance and peer review Not commissioned; externally peer reviewed.