Thomas Muller is a Consultant of Intensive Care Medicine and Pneumology at the University Medical Centre Regensburg, one of Germany´s most active ECMO Centres with about 150 runs per year. He is head of the Medical ICU and a member of the Steering Committee of EURO ELSO. He hosted the 4th International EuroELSO Congress in Regensburg in 2015. His special professional interests include the treatment of severe acute lung failure and the management of patients post resuscitation. Since 1996 his department is engaged in the optimization of miniaturized ECMO devices in use both for severe ARDS and circulatory failure.