Integrated Use of Extracorporeal Membrane Oxygenation and Molecular Adsorbent Recirculating System for Refractory Cardiotoxic Ingestion: A Single-Center Case Series.
Five consecutive patients with severe calcium-channel blocker or beta-adrenergic antagonist ingestions developed profound hypotension and respiratory failure despite standard therapies.
Clinical pearl
In severe cardiotoxic ingestion with persistent shock and respiratory failure, this case series describes MARS use for drug clearance and vasoplegia, with venovenous ECMO used when hypoxemia remained refractory.