The extracorporeal membrane oxygenation (ECMO) high-fidelity simulator: the best complementary tool to learn the technique

Montero, Santiago; Schmidt, Matthieu

doi:10.21037/jtd.2017.10.117

Cited by 7 publications

(7 citation statements)

References 19 publications

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“…Simulation followed by a facilitated debriefing has been identified as an effective approach for clinicians to practice and acquire experience. 31,39 Although such evidence is limited in the context of ECMO, 32 it remains nonetheless an important educational strategy that can improve patient safety. There are few commercial options for ECMO simulation and many limitations to these systems and those developed in-house across the globe.…”

Section: Resultsmentioning

confidence: 99%

“…There are also many aspects of ECMO care principles that can be effectively taught and practiced through water drills using the basic circuit components, but it provides a far less immersive and contextualized learning experience than simulation modalities also involving a patient simulator. 38,39 As soon as a patient simulator is added in the simulation-based learning experience, participants can be exposed to a much greater number of scenarios and a wider spectrum of learning objectives. The scenarios can then be followed by a debriefing period during which the decision-making processes and actions of the participants can be analyzed to develop a better understanding of their mental frames and address the issues identified.…”

Section: Relevant and Affordable Simulationmentioning

confidence: 99%

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Cost-Effective Extracorporeal Membrane Oxygenation Simulation

Alinier

2018

J Card Crit Care

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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.

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Section: Resultsmentioning

confidence: 99%

Section: Relevant and Affordable Simulationmentioning

confidence: 99%

Cost-Effective Extracorporeal Membrane Oxygenation Simulation

Alinier

2018

J Card Crit Care

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“…The authenticity and practicality of training cases are the essence of ECMO training courses. High-delity simulation training is an ideal platform for developing ECMO training [3] . In this study, the simulation course developed scenarios through various aspects including cases, environment (ICU setting), medicine, equipment (ventilator, monitor, blood gas test), speci c mannequin, etc., so that novice learners can be as immersive as possible.…”

Section: Discussionmentioning

confidence: 99%

Assessment of Novice Learners in a Novel High-fidelity Simulation-Based Extracorporeal Membrane Oxygenation Education Program

TONG

ZHU

et al. 2020

Preprint

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Background: This study aimed to design a suitable integrated extracorporeal membrane oxygenation (ECMO) curriculum and assessed the impact of this a high-fidelity simulation-based education module on novice learners. Methods: An ECMO training curriculum was developed by well-trained and experienced ECMO experts that incorporated simulation modules to train multidisciplinary health care professionals. Pre- and post-participation questionnaires were used to determine the effects on the knowledge, ability, and confidence level of the participants. A five-point Likert scale was used to assess the participants regarding the ECMO practical test. Results: The study enrolled 37 participants (10 doctors, 27nurses). 67.6% (25/37) of trainees didn’t have ECMO experience. All two questionnaires were completed by 37 participants. A five-point Likert scale on practical test was finished by 4 ECMO experts. All participants passed the written and practical tests. All the responding participants thought the curriculum was useful in improving their perception of their overall knowledge and their ability to perform the required critical performance criteria on simulated ECMO. 91.9% (34/37) trainees thought that they invested more in active learning during the whole course; 60% (22/37) of them achieved a good level of technical evaluation. On the other hand, 67.6% (25/37) of the trainees have shown a good self-confidence in the priming course; however, 43.2% (16/27) trainees still needed to strengthen their overall competence in ECMO management. Conclusions: The integration of traditional teaching and high-fidelity simulation teaching can effectively improve the ECMO monitoring level and management skills of novice learners, but whether this training mode can be successfully transferred to the clinical field needs further research and confirmation.

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“…The Maastricht category II (donors after unsuccessful resuscitation) DCD procedures were already activated several times, resulting in two successful double kidney transplantations, for the first time in Poland (17)(18)(19). Additionally, we were able to successfully treat two hypothermic patients for the first time in the region, and initiated treatment using ECMO for reversible respiratory failure in several patients.…”

Section: Discussionmentioning

confidence: 99%

“…However, publications are lacking whether the use of simulators are associated with better clinical outcomes. Randomized clinical trials are needed in this field to define the priority of simulation-based ECMO training and its impact in clinical outcomes in ECMO centers (17).…”

Section: Discussionmentioning

confidence: 99%

Prototype of extracorporeal membrane oxygenation (ECMO) therapy simulator used in regional ECMO program

Puslecki¹,

Ligowski²,

Kiel³

et al. 2018

J. Thorac. Dis.

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This newly developed advanced ECMO simulation prototype was recently introduced into education and regularly training of healthcare providers of the "ECMO for Greater Poland" program. The simulation based training program is financially affordable and enables clinical teaching in a wider range of clinical scenarios. The ECMO simulation prototype consequently improves level of expertise of the healthcare providers and finally improves quality in patient care.

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The extracorporeal membrane oxygenation (ECMO) high-fidelity simulator: the best complementary tool to learn the technique

Cited by 7 publications

References 19 publications

Cost-Effective Extracorporeal Membrane Oxygenation Simulation

Cost-Effective Extracorporeal Membrane Oxygenation Simulation

Assessment of Novice Learners in a Novel High-fidelity Simulation-Based Extracorporeal Membrane Oxygenation Education Program

Prototype of extracorporeal membrane oxygenation (ECMO) therapy simulator used in regional ECMO program

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