Revolutionizing ECMO simulation with affordable yet high-Fidelity technology

Disi, Mohammed Al; Alsalemi, Abdullah; Alhomsi, Yahya; Bensaali, Fayçal; Amira, Abbes; Alinier, Guillaume

doi:10.1016/j.ajem.2017.11.036

Cited by 22 publications

(21 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Trying to fill this gap, several ECMO centres are actually working on developing their own ECMO patient simulator by modifying commercially available mannequins or designing it from scratch. (29,42,45,46) These initiatives sometimes lack expertise in some specific aspects and international collaboration could help advance this niche simulation domain. ELSO is probably the best placed organisation to facilitate such collaborations through a network.…”

Section: Discussionmentioning

confidence: 99%

Addressing the challenges of ECMO simulation

et al. 2018

Self Cite

View full text Add to dashboard Cite

Introduction/Aim: The patient’s condition and high-risk nature of extracorporeal membrane oxygenation (ECMO) therapy force clinical services to ensure clinicians are properly trained and always ready to deal effectively with critical situations. Simulation-based education (SBE), from the simplest approaches to the most immersive modalities, helps promote optimum individual and team performance. The risks of SBE are negative learning, inauthenticity in learning and over-reliance on the participants’ suspension of disbelief. This is especially relevant to ECMO SBE as circuit/patient interactions are difficult to fully simulate without confusing circuit alterations. Methods: Our efforts concentrate on making ECMO simulation easier and more realistic in order to reduce the current gap there is between SBE and real ECMO patient care. Issues to be overcome include controlling the circuit pressures, system failures, patient issues, blood colour and cost factors. Key to our developments are the hospital-university collaboration and research funding. Results: A prototype ECMO simulator has been developed that allows for realistic ECMO SBE. The system emulates the ECMO machine interface with remotely controllable pressure parameters, haemorrhaging, line chattering, air bubble noise and simulated blood colour change. Conclusion: The prototype simulator allows the simulation of common ECMO emergencies through innovative solutions that enhance the fidelity of ECMO SBE and reduce the requirement for suspension of disbelief from participants. Future developments will encompass the patient cannulation aspect.

show abstract

Section: Discussionmentioning

confidence: 99%

Addressing the challenges of ECMO simulation

et al. 2018

Self Cite

View full text Add to dashboard Cite

show abstract

“…The availability of equipment and the costs of replacement are real economical concerns, especially for newly developed centres. The advent of 3-D printing technologies may hold promise for the construct of economical oxygenators [8].…”

Section: Limitationsmentioning

confidence: 99%

“…Other technical difficulties include simulating blood clots in the oxygenator and access line chattering. Ongoing research to overcome these challenges is underway, such as the use of thermochromic fluid to simulate colour changes of the circuit blood [8].…”

Section: Limitationsmentioning

confidence: 99%

Education Curriculum on Extracorporeal Membrane Oxygenation: The Evolving Role of Simulation Training

Ching¹,

Ng²,

Wai³

et al. 2019

Advances in Extra-Corporeal Perfusion Therapies

View full text Add to dashboard Cite

Continuing education is essential for the success and safety of an extracorporeal membrane oxygenation (ECMO) programme. However, it is challenging due to the intrinsic characteristic of ECMO-a complex, high-risk, low-volume clinical activity which require teamwork, inter-professional communication, critical decision and rapid response especially in emergency. Thus, simulation is a rapidly evolving teaching methodology in ECMO education to address those training needs that cannot be entirely addressed by traditional teaching modalities. The development of a simulation programme requires commitment on resources for equipment, environment setup and training of personnel. Knowledge on ECMO management, education science and debriefing technique forms the cornerstone of successful ECMO simulation facilitators and hence the simulation programme. Currently, researches have already shown that ECMO simulation can improve individual and team performance despite that its impact on patient outcome is still unknown. In the future, the role of simulation will increase importantly in multicentre research, certifying specialists and credentialing if standardization of training curriculum can be achieved.

show abstract

“…The team is developing a relatively low-cost yet high-fidelity or high-technology modular ECMO simulator. 41 The work has been partially supported by some research grants. The ECMO circuit simulator system is based on interconnected modules serving different functions required for simulation of ECMO emergencies and includes simplified three-dimensional (3D) printed replicas of otherwise expensive consumable parts, such as the oxygenation membrane and the actual ECMO machine to enable the circulation of a thermochromic fluid simulating the patient blood.…”

Section: Relevant and Affordable Simulationmentioning

confidence: 99%

Cost-Effective Extracorporeal Membrane Oxygenation Simulation

Alinier

2018

J Card Crit Care

Self Cite

View full text Add to dashboard Cite

This invited review article was presented orally on the occasion of the South West Asian Chapter conference of the Extracorporeal Life Support Organization (ELSO) held in New Delhi, India in January 2018. It has an educational focus on the topic of extracorporeal membrane oxygenation (ECMO), which is increasingly being used as a lifesaving bridge therapy. A case is being made regarding the adage “practice makes perfect” to be considered in the context of simulation-based education to ensure patient safety. Technology-enhanced simulation-based deliberate practice should be used more commonly to support clinicians in the development of all their professional skills. This is an ethical imperative that may be addressed using low-cost simulation modalities that are sometimes proven to be as effective as more expensive approaches. Educators can now design their programs according to published best practice standards for the benefit of their learners, and ultimately the patients they care for. Simulation-based education clearly has a place and important role to play in preparing ECMO teams dealing with routine procedures as well as emergency situations. Several solution and approaches are being presented alongside innovative work currently being done in collaboration between a regional ELSO center of excellence and an academic institution. This innovative simulator is composed of several modules serving different functions required for the simulation of ECMO emergencies at a much lower cost than using the real machine and its various expensive disposable components.

show abstract

Revolutionizing ECMO simulation with affordable yet high-Fidelity technology

Cited by 22 publications

References 13 publications

Addressing the challenges of ECMO simulation

Addressing the challenges of ECMO simulation

Education Curriculum on Extracorporeal Membrane Oxygenation: The Evolving Role of Simulation Training

Cost-Effective Extracorporeal Membrane Oxygenation Simulation

Contact Info

Product

Resources

About