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To describe the frequency and outcomes on the use of extracorporeal membrane oxygenation among critically ill neonates and children within a structured pediatric critical care network in the West of France. To assess the optimality of decision-making process for patients primarily admitted in nonextracorporeal membrane oxygenation centers. Observational prospective population-based study from January 2015 to December 2019. Neonates over 34 weeks of gestational age, weighing more than 2,000 g and children under 15 years and 3 months old