The Role of Extracorporeal Membrane Oxygenation Simulation Training at Extracorporeal Life Support Organization Centers in the United States

Weems, Mark F.; Friedlich, Philippe; Nelson, Lara; Rake, Alyssa; Klee, Laura; Stein, James E.; Stavroudis, Theodora A.

doi:10.1097/sih.0000000000000243

Cited by 54 publications

(45 citation statements)

References 20 publications

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“…Forty-six per cent of ECMO centres had an ECMO simulation programme. ECMO centres with access to a simulation centre, those with higher case numbers and pediatric cardiothoracic ICU are more likely to have an ECMO simulation programme [11].…”

Section: Current Evidence and Status Of Ecmo Simulationmentioning

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

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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.

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Section: Current Evidence and Status Of Ecmo Simulationmentioning

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

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show abstract

“…This may encourage learners to pretend to do a full circuit check, ignore observed abnormalities, and become familiar with such abnormal circuit configurations. Such alterations with the addition of additional ports or extensions into the ECMO circuit are usually required to assist with volume adjustments, injection of air bubbles, (24) or even oxygenation levels when animal or expired human blood is used as part of the simulation.…”

Section: Challenges and Proposed Solutions To Ecmo Simulationmentioning

confidence: 99%

“…(24) Deliberate and repetitive practice of ECMO related skills is critical to patient safety and is expected to improve outcomes, especially when it is employed in an interprofessional simulation context (enhanced by debriefing). For example, SBE had been demonstrated to reduce ECPR times in real patients.…”

Section: Ecmo Practical and Cognitive Skills Developmentmentioning

confidence: 99%

“…(33) There is however currently no patient simulator that allows for the full scope of ECMO simulation procedures from preparation and pre-cannulation through to operating the ECMO circuit, or even transitioning from VV-ECMO to Veno-Veno-Arterial (VVA) ECMO or dealing with the full range of potential patient or circuit complications. (24,32) Our thinking and efforts focus on making ECMO simulation easier and more realistic in order to reduce the current gap between SBE and real ECMO patient care. Issues to be overcome include controlling the circuit pressures, system failures, patient issues, blood colour change, and cost factors.…”

Section: Ecmo Simulation Fidelitymentioning

confidence: 99%

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Addressing the challenges of ECMO simulation

et al. 2018

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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.

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“…Its complex management and the need for rapid decision-making processes to counter complications require critical care stakeholders to be constantly updated and trained to care for patients in need of such interventions. Despite the highly challenging management of ECMO patients, well-established training programs are scarce (7,8). To date, the Extracorporeal Life Support Organization, an international body focused on ECMO research and education, recommends traditional educational approaches with lectures and practice with water-drills or animal testing (9).…”

mentioning

confidence: 99%

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

Montero

Schmidt

2017

J. Thorac. Dis.

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The Role of Extracorporeal Membrane Oxygenation Simulation Training at Extracorporeal Life Support Organization Centers in the United States

Cited by 54 publications

References 20 publications

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

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

Addressing the challenges of ECMO simulation

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

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