At Yashoda Hospitals Hyderabad, a dedicated Multidisciplinary team of ECMO clinicians consisting of critical care physicians and specialist surgeons determine if a patient is eligible for ECMO. Each patient’s case is considered individually and a customised treatment plan is curated based on their medical condition, the emphasis being on “awake ECMO” with early “wake up” and mobilisation of patients while on ECMO. While we started this in our lung transplant bridging program, we are now using this approach in all patients to preserve neuromuscular function.