Voriconazole
| Effect of ECMO | Moderate to heavy CS |
|---|---|
| Dose recommendation | Increase loading dose duration. Start at 6 mg/kg IV q12h x2 days (or after oxygenator change) and then reduce dose to 3-4 mg/kg q24h. |
| Comments, reference | Extensive intersubject and intrasubject variability. Therapeutic drug monitoring strongly encouraged (Crit Care 2024;28:326; Clin Pharmacokinet 2023;62:931). |