Fig. 1. Study design. ARDS = acute respiratory distress syndrome; ARDS network strategy =  ARDSNet strategy; BAL = bronchoalveolar lavage; CT = computed tomography; FIO2= inspired O2fraction; PEEP = positive end-expiratory pressure; PPLAT= end-inspiratory plateau pressure; VT= tidal volume. All patients in the Lower  ARDSNet /Carbon Dioxide Removal arm met pH criteria for carbon dioxide removal and were therefore connected to the veno-venous bypass. 

Fig. 1. Study design. ARDS = acute respiratory distress syndrome; ARDS network strategy =  ARDSNet strategy; BAL = bronchoalveolar lavage; CT = computed tomography; FIO2= inspired O2fraction; PEEP = positive end-expiratory pressure; PPLAT= end-inspiratory plateau pressure; VT= tidal volume. All patients in the Lower  ARDSNet /Carbon Dioxide Removal arm met pH criteria for carbon dioxide removal and were therefore connected to the veno-venous bypass. 

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