ECTR is typically employed in cases of severe poisoning or overdose, where the body's natural elimination processes are insufficient. Indications for ECTR include the ingestion of substances with a high risk of morbidity and mortality, substances that are amenable to removal by ECTR, and when clinical deterioration is imminent despite supportive care. The decision to use ECTR is based on several factors, including the pharmacokinetics of the toxin, the patient's clinical condition, and the availability of ECTR resources.
