Sometimes I post because I woke up at 3am thinking about something random. This is completely one of those moments. The day before we had been talking about ECMO and the timing of giving heparin. I wondered then what affect the ECMO circuit must have on the medications. Lucky for me it was just a quick search away because the smart folks at LITFL had already thought about this!
If you have ever wondered (at 3am or otherwise)how medications are affected by ECMO then this is a great place to start reading.