In another recent study by Akil et al. of the 26 patients, 16 patients (58.5 ± 11.7 years old) treated with CytoSorb between March 2020–2021 with severe ARDS who failed mechanical ventilation and proning, with pressor-dependent shock, elevated lactate and IL-6, were immediately placed on VV ECMO on ICU admission and treated with adjunct hemoadsorption (10 integrated with CRRT, 6 with ECMO). Here, IL6 is linked to acute respiratory distress syndrome.