There are many unknown questions and puzzle pieces that should describe the clinical course of COVID-19 and its complications, especially ARDS . We provide the initial immediate surge response to allow every patient in need of an ICU bed to receive one . Till our knowledge is improved, the most important intervention in the treatment of critically ill patients with COVID-19 seems to be the level of standard care and appropriate and early diagnosis and treatment . It seems that each center should have its protocol on the management of critically ill COVID-19 patients regarding prevention, diagnosis, and treatment . This treatment should now be performed regardless of the reason which lies behind the pathophysiology of this disease, which is yet unknown . In this report, we share our experience in the management of critically ill COVID-19 patients during the 2 months in our intensive care unit.