Using simulation to create a unique regional ECMO program for the Greater Poland region

Puslecki, Mateusz; Ligowski, Marcin; Stefaniak, Sebastian; Zieliński, Marcin; Pawlak, Aleksander; Dąbrowski, Marek; Kłosiewicz, Tomasz; Sip, Maciej; Karczewski, Marek; Małkiewicz, Tomasz; Gąsiorowski, Łukasz; Telec, Wojciech; Ładzińska, Małgorzata; Ładziński, Piotr; Perek, Bartłomiej; Misterski, Marcin; Mrówczyński, Wojciech; Sobczyński, Paweł; Panieński, Paweł; Łukasik-Głębocka, Magdalena; Artyńska, Aniela; Gezela, Mariusz; Buczkowski, Piotr; Czekajło, Michael; Jemielity, Marek

doi:10.5339/qmj.2017.swacelso.79

Cited by 12 publications

(14 citation statements)

References 7 publications

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“…It included capability to verify the patient and ECMO indication, to perform cannulation, to prime the ECMO circuit, and to initiate ECMO treatment (17,(46)(47)(48)(49)(50)(51). The above simulations were carried out in this scope and form for the first time in Poland and Europe, and they have become an excellent training tool allowing to create procedures that have not been carried out so far.…”

Section: Elso Guidelines For Education and Medical Simulationmentioning

confidence: 99%

“…In addition with creating a mobile ECMO team we tested all responsibilities that are needed for the mission. It included capability to verify the patient and ECMO indication, to perform cannulation, to prime the ECMO circuit, and to initiate ECMO treatment (17,(46)(47)(48)(49)(50)(51).…”

Section: Elso Guidelines For Education and Medical Simulationmentioning

confidence: 99%

“…Medical simulation is a great tool to test improving the quality of education while acquiring skills. In Poland and in the region, we are only dealing with the implementation and development of perfusion techniques in the treatment of critical conditions (17,(46)(47)(48)(49)(50)(51). In this respect, we must be aware of the related limitations.…”

Section: Elso Guidelines For Education and Medical Simulationmentioning

confidence: 99%

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BEST Life—“Bringing ECMO Simulation To Life”—How Medical Simulation Improved a Regional ECMO Program

et al. 2018

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The implemented "ECMO for Greater Poland" program takes full advantage of the ECMO (extracorporeal membrane oxygenation) perfusion therapy to promote health for 3.5 million inhabitants in the region. The predominant subjects of implementation are patients with hypothermia, with severe reversible respiratory failure (RRF), and treatment of other critical states leading to heart failure such as sudden cardiac arrest, cardiogenic shock or acute intoxication. Finally, it promotes donation after circulatory death (DCD) strategy in selected organ donor cases. ECMO enables recovery of organs' function after unsuccessful lifesaving treatment. Because this organizational model is complex and expensive, we use advanced high-fidelity medical simulation to prepare for real-life implementation. During the first four months, we performed scenarios mimicking "ECMO for DCD," "ECMO for ECPR (extended cardiopulmonary resuscitation)," "ECMO for RRF" and "ECMO in hypothermia." It helped to create algorithms for aforementioned program arms. In the following months, three ECMO courses for five departments in Poznan (capitol city of Greater Poland) were organized and standardized operating procedures for road ECMO transportation within Medical Emergency System were created. Soon after simulation program, 38 procedures with ECMO perfusion therapy including five road transportations on ECMO were performed. The Maastricht category II DCD procedures were done four times on real patients and in two cases double successful kidney transplantations were carried out for the first time in Poland. ECMO was applied in two patients with hypothermia, nine adult patients with heart failure, and five with RRF, for the first time in the region. In the pediatric group, ECMO was applied in four patients with RRF and 14 with heart failure after cardiac surgery procedures. Additionally, one child was treated successfully following 200 km-long road transport on ECMO. We achieved good and promising results especially in VV ECMO therapy. Simulation-based training enabled us to build a successful procedural chain, and to eliminate errors at the stage of identification, notification, transportation, and providing ECMO perfusion therapy. We discovered the important role of medical simulation, not only to test the medical professional's skills, but also to promote ECMO therapy in patients with critical/life-threatening states. Moreover, it also resulted in increase of the potential organ pool from DCD in the Greater Poland region.

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Section: Elso Guidelines For Education and Medical Simulationmentioning

confidence: 99%

Section: Elso Guidelines For Education and Medical Simulationmentioning

confidence: 99%

Section: Elso Guidelines For Education and Medical Simulationmentioning

confidence: 99%

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BEST Life—“Bringing ECMO Simulation To Life”—How Medical Simulation Improved a Regional ECMO Program

et al. 2018

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“…Moreover, up to know a few clinical scenarios with DCD-ECMO have been performed. These simulations connected all links of the chain – pre-hospital, early in-hospital, advanced in-hospital – and involved cardiac surgeons, anesthesiologists, perfusionists, critical care nurses and in one case also the transplant team [ 28 – 33 ].…”

Section: The Role Of Simulationmentioning

confidence: 99%

The role of extracorporeal membrane oxygenation in patients after irreversible cardiac arrest as potential organ donors

Kłosiewicz¹,

Puślecki²,

Zieliński³

et al. 2017

kitp

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The number of people waiting for a kidney or liver transplant is growing systematically. Due to the latest advances in transplantation, persons after irreversible cardiac arrest and confirmation of death have become potential organ donors. It is estimated that they may increase the number of donations by more than 40%. However, without good organization and communication between pre-hospital care providers, emergency departments, intensive care units and transplantation units, it is almost impossible to save the organs of potential donors in good condition. Various systems, including extracorporeal membrane oxygenation (ECMO), supporting perfusion of organs for transplantation play a key role. In 2016 the “ECMO for Greater Poland” program was established. Although its main goal is to improve the survival rate of patients suffering from life-threatening cardiopulmonary conditions, one of its branches aims to increase the donation rate in patients with irreversible cardiac arrest. In this review, the role of ECMO in the latter group as the potential organ donors is presented.

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“…A group of ECMO enthusiasts recently launched the first polish ECMO program called "ECMO for Greater Poland". The program's objective is to take full advantage of the indications for extracorporeal life support for the 3.5 million inhabitants of the Greater Poland region (1,2).…”

Section: Introductionmentioning

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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Using simulation to create a unique regional ECMO program for the Greater Poland region

Cited by 12 publications

References 7 publications

BEST Life—“Bringing ECMO Simulation To Life”—How Medical Simulation Improved a Regional ECMO Program

BEST Life—“Bringing ECMO Simulation To Life”—How Medical Simulation Improved a Regional ECMO Program

The role of extracorporeal membrane oxygenation in patients after irreversible cardiac arrest as potential organ donors

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

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