Extracorporeal membrane oxygenation simulation-based training: methods, drawbacks and a novel solution

Mohammed Aldisi, Abdullah Alsalemi, Yahya Alhomsi, Guillaume Alinier, Faycal Bensaali, Abbes Amira

Research output: Contribution to journalReview articlepeer-review

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Abstract

Introduction: Patients under the error-prone and complication-burdened extracorporeal membrane oxygenation (ECMO) are looked after by a highly trained, multidisciplinary team. Simulation-based training (SBT) affords ECMO centers the opportunity to equip practitioners with the technical dexterity required to manage emergencies. The aim of this article is to review ECMO SBT activities and technology followed by a novel solution to current challenges. ECMO simulation: The commonly-used simulation approach is easy-to-build as it requires a functioning ECMO machine and an altered circuit. Complications are simulated through manual circuit manipulations. However, scenario diversity is limited and often lacks physiological and/or mechanical authenticity. It is also expensive to continuously operate due to the consumption of highly specialized equipment.
Technological aid: Commercial extensions can be added to enable remote control and to automate circuit manipulation, but do not improve on the realism or cost-effectiveness.
A modular ECMO simulator: To address those drawbacks, we are developing a standalone modular ECMO simulator that employs affordable technology for high-fidelity simulation.
Original languageEnglish
Pages (from-to)183-194
JournalPerfusion
Early online date19 Oct 2018
Publication statusE-pub ahead of print - 19 Oct 2018

Keywords

  • ECMO
  • simulation technology
  • medical simulation
  • ECLS
  • medical training

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