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High-quality logistical concept for interhospital transport is crucial.

In their interesting review article (1), Muller and coauthors described the use of pulmonary support procedures, such as extracorporeal membrane oxygenation (ECMO) in adult patients with acute respiratory distress syndrome (ARDS). The article is of enormous interest because it shows clearly the revival of the procedure in recent years and its importance today. We wish to focus on two issues that seemed to have received short shrift in the article.