ECMO in drug intoxication

Abstract

Drug intoxication can affect the cardiovascular system in such a severe way that leads to forms of cardiogenic shock which appear unresponsive to conventional treatment. The rationale of mechanical circulatory support in this context is to sustain the cardiac (or cardiopulmonary) function until the heart recovers. Intra-aortic balloon counterpulsation can be helpful for “less severe” forms of cardiogenic shock. When the cardiac function is severely depressed, however, extracorporeal membrane oxygenation in the venoarterial configuration can provide full support to circulation, with good outcomes and an acceptable rate of complications.