Do Ngoc SonVietnamSpeakerAdvancing ECCO₂R Therapy: Lessons from Vietnam for the Asia-Pacific RegionExtracorporeal carbon dioxide removal (ECCO2R) therapy has been used widely in many ICUs in the world. There has been huge evidence on the effectiveness of the ARDS, COPD exacerbation, bridge to lung transplantation. However, the use of this technology is still limited to center in the developed world. The first 2 ECCO2R cases have been carried out successfully at the Center for Critical Care Medicine of Bach Mai hospital in 2023. There is a lot enthusiasm of technology, especially in early, mild to moderate stages of ARDS, mechanical ventilation complication on the exacerbation of COPD etc.... The problem with these approaches is that there will be more expenses for the patient family and burden for ICU staff. The future of ECCO2R will be individualization and health insurance reimbursement.