Disclaimer: ECMO has, and will certainly continue, to play a role in the management of COVID-19 patients. It should be emphasized that this initial guidance is based on the current best evidence for ECMO use during this pandemic. Guidance documents addressing additional portions of ECMO care are currently being assembled for rapid publication and distribution to ECMO centers worldwide.
Keywords:  extracorporeal membrane oxygenation, acute respiratory distress syndrome, COVID-19, pandemic
Author contributions: Wael I Awad: Drafting article, critical revision of article, approval of article.
Mohamad Bashir: Critical revision of article, approval of article.