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The child evolved to refractory hypoxemia and hypercapnia, requiring high parameters of technical pulmonary ventilation and employ of vasoactive representatives. In the treatment escalation, the in-patient got steroids, inhaled nitric oxide (iNO), ended up being posted to the susceptible place, began oscillatory high-frequency ventilation (HFOV) and extracorporeal membrane layer oxygenation (ECMO) had been indicated as a result of serious refractory hypoxemia. During this