Transport and Retrieval on Extracorporeal Membrane Oxygenation (ECMO): Setup and Activities of an Immersive Transport and Retrieval on ECMO Workshop

Labib, Ahmed; Alinier, Guillaume

doi:10.1053/j.jvca.2020.11.069

Cited by 13 publications

(10 citation statements)

References 23 publications

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“…Twenty-two studies included didactics. Of these, 11% provided reading materials or written guides ( 27 , 32 , 38 , 50 ), and 11% provided online instruction ( 21 , 38 , 40 , 47 ). Multimedia was used infrequently, with video instruction in 11% ( 31 , 35 , 38 , 41 ), video-assisted simulation feedback in 8% ( 20 , 39 , 44 ), and augmented reality in 3% ( 40 ).…”

Section: Resultsmentioning

confidence: 99%

A Scoping Review and Appraisal of Extracorporeal Membrane Oxygenation Education Literature

Han¹,

Purkey

Kuo³

et al. 2022

ATS Scholar

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Background Despite a recent rise in publications describing extracorporeal membrane oxygenation (ECMO) education, the scope and quality of ECMO educational research and curricular assessments have not previously been evaluated. Objective The purposes of this study are 1 ) to categorize published ECMO educational scholarship according to Bloom’s educational domains, learner groups, and content delivery methods; 2 ) to assess ECMO educational scholarship quality; and 3 ) to identify areas of focus for future curricular development and educational research. Methods A multidisciplinary research team conducted a scoping review of ECMO literature published between January 2009 and October 2021 using established frameworks. The Medical Education Research Study Quality Instrument (MERSQI) was applied to assess quality. Results A total of 1,028 references were retrieved; 36 were selected for review. ECMO education studies frequently targeted the cognitive domain (78%), with 17% of studies targeting the psychomotor domain alone and 33% of studies targeting combinations of the cognitive, psychomotor, and affective domains. Thirty-three studies qualified for MERSQI scoring, with a median score of 11 (interquartile range, 4; possible range, 5–18). Simulation-based training was used in 97%, with 50% of studies targeting physicians and one other discipline. Conclusion ECMO education frequently incorporates simulation and spans all domains of Bloom’s taxonomy. Overall, MERSQI scores for ECMO education studies are similar to those for other simulation-based medical education studies. However, developing assessment tools with multisource validity evidence and conducting multienvironment studies would strengthen future work. The creation of a collaborative ECMO educational network would increase standardization and reproducibility in ECMO training, ultimately improving patient outcomes.

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Section: Resultsmentioning

confidence: 99%

A Scoping Review and Appraisal of Extracorporeal Membrane Oxygenation Education Literature

Han¹,

Purkey

Kuo³

et al. 2022

ATS Scholar

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“…The role of extracorporeal membrane oxygenation (ECMO) in Coronavirus 2019 (COVID-19) associated severe acute respiratory distress syndrome (ARDS) has been a subject of debate because of the early negative results [76,77]. Despite that ECMO has been recommended as supportive intervention by multiple societies [78,79]. However, subsequent studies from the extracorporeal life support organization (ELSO) showed that the use of V-V ECMO in COVID-19 is associated with an in-hospital mortality of 36.9-51.9% at 90 days [80,81].…”

Section: Extracorporeal Membrane Oxygenation During Coronavirus 2019 ...mentioning

confidence: 99%

“…ECMO centers are highly encouraged to develop ECMO transport checklists aimed at minimizing the near misses and reduce human-factor error. The literature and ELSO guidelines have many examples that could be adopted by different institutions [77,79]. Both hospitals based and private ECMO transport teams exist.…”

Section: Transportation Of Patients On Extracorporeal Membrane Oxygen...mentioning

confidence: 99%

Extracorporeal Membrane Oxygenation: Beyond Conventional Indications

Zaaqoq¹,

Gabrial²,

Dalton³

2023

Updates in Anesthesia - The Operating Room and Beyond

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Over the last several years, the use of extracorporeal membrane oxygenation (ECMO) has exponentially increased. As the technology advanced, the rate of devastating complications has decreased somewhat, and the utility of ECMO has expanded beyond its conventional uses in cardiogenic shock and acute respiratory distress syndrome (ARDS). Currently, ECMO can be deployed in the perioperative period with high-risk surgeries where cardiac or respiratory compromise is anticipated. Moreover, it can be utilized in difficult airway patients or patients undergoing airway surgeries, thoracic surgery patients, trauma victims and many other conditions previously excluded. The aim of this review is to highlight the ECMO-patient interaction, the indications for ECMO in the non-cardiac surgery population, ECMO management and potential complications.

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“…Training and competency development includes: 16–20 Formal training in transport medicine and mobile ECMO for all team members. Course should include formal education specific to transport of ECMO patients (both primary and secondary); and If able, simulation should be incorporated into the course for team training. High and low fidelity simulation should be utilized for facilitation and maintenance of technical and practical competency. Regularly scheduled clinical validation process is recommended. …”

Section: Section V: Clinical Governance and Risk Managementmentioning

confidence: 99%

Extracorporeal Life Support Organization Guideline for Transport and Retrieval of Adult and Pediatric Patients with ECMO Support

Labib

August²,

Agerstrand³

et al. 2022

ASAIO Journal

Self Cite

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Disclaimer: This guideline for the preparation for and undertaking of transport and retrieval of patients on extracorporeal membrane oxygenation (ECMO) is intended for educational use to build the knowledge of physicians and other health professionals in assessing the conditions and managing the treatment of patients undergoing ECLS / ECMO and describe what are believed to be useful and safe practice for extracorporeal life support (ECLS, ECMO) but these are not necessarily consensus recommendations. The aim of clinical guidelines are to help clinicians to make informed decisions about their patients. However, adherence to a guideline does not guarantee a successful outcome. Ultimately, healthcare professionals must make their own treatment decisions about care on a case-by-case basis, after consultation with their patients, using their clinical judgement, knowledge and expertise. These guidelines do not take the place of physicians’ and other health professionals’ judgment in diagnosing and treatment of particular patients. These guidelines are not intended to and should not be interpreted as setting a standard of care or be deemed inclusive of all proper methods of care nor exclusive of other methods of care reasonably directed to obtaining the same results. The ultimate judgment must be made by the physician and other health professionals and the patient in light of all the circumstances presented by the individual patient, and the known variability and biological behavior of the clinical condition. These guidelines reflect the data at the time the guidelines were prepared; the results of subsequent studies or other information may cause revisions to the recommendations in these guidelines to be prudent to reflect new data, but ELSO is under no obligation to provide updates. In no event will ELSO be liable for any decision made or action taken in reliance upon the information provided through these guidelines.

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Transport and Retrieval on Extracorporeal Membrane Oxygenation (ECMO): Setup and Activities of an Immersive Transport and Retrieval on ECMO Workshop

Cited by 13 publications

References 23 publications

A Scoping Review and Appraisal of Extracorporeal Membrane Oxygenation Education Literature

A Scoping Review and Appraisal of Extracorporeal Membrane Oxygenation Education Literature

Extracorporeal Membrane Oxygenation: Beyond Conventional Indications

Extracorporeal Life Support Organization Guideline for Transport and Retrieval of Adult and Pediatric Patients with ECMO Support

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