1. Simulators and Simulations for Extracorporeal Membrane Oxygenation: An ECMO Scoping Review
- Author
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Wytze C. Duinmeijer, Libera Fresiello, Justyna Swol, Pau Torrella, Jordi Riera, Valentina Obreja, Mateusz Puślecki, Marek Dąbrowski, Jutta Arens, Frank R. Halfwerk, Engineering Organ Support Technologies, TechMed Centre, Cardiovascular and Respiratory Physiology, Biomechanical Engineering, Institut Català de la Salut, [Duinmeijer WC] Engineering Organ Support Technologies, Department of Biomechanical Engineering, TechMed Centre, University of Twente, LW Enschede, The Netherlands. [Fresiello L] Cardiovascular and Respiratory Physiology Group, TechMed Centre, University of Twente, NH Enschede, The Netherlands. Institute of Clinical Physiology, National Research Council, Pisa, Italy. [Swol J] Department of Respiratory Medicine, Paracelsus Medical University Nuremberg, Nuremberg, Germany. [Torrella P, Riera J] Servei de Medicina Intensiva, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Grup de Recerca de Shock, Disfunció Orgànica i Ressuscitació, Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. [Obreja V] Cardiothoracic Intensive Care Unit, University of California, Los Angeles, CA, USA. Barbra Streisand Women’s Heart Center, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, CA, USA, and Vall d'Hebron Barcelona Hospital Campus
- Subjects
educación::enseñanza::formación mediante simulación [ANTROPOLOGÍA, EDUCACIÓN, SOCIOLOGÍA Y FENÓMENOS SOCIALES] ,model ,simulation training ,terapéutica::terapia respiratoria::oxigenación por membrana extracorpórea [TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS] ,General Medicine ,Education::Teaching::Simulation Training [ANTHROPOLOGY, EDUCATION, SOCIOLOGY, AND SOCIAL PHENOMENA] ,terapéutica::tratamiento de urgencia::resucitación::reanimación cardiopulmonar [TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS] ,extracorporeal life support (ECLS) ,fidelity ,Therapeutics::Emergency Treatment::Resuscitation::Cardiopulmonary Resuscitation [ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT] ,classification ,Formació ,Therapeutics::Respiratory Therapy::Extracorporeal Membrane Oxygenation [ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT] ,Reanimació cardiopulmonar ,Teràpia respiratòria - Aparells i instruments ,Simulació, Mètodes de - Abstract
Classification; Extracorporeal life support; Simulation training Classificació; Suport vital extracorpòri; Formació en simulació Clasificación; Soporte vital extracorpóreo; Formación en simulación High-volume extracorporeal membrane oxygenation (ECMO) centers generally have better outcomes than (new) low-volume ECMO centers, most likely achieved by a suitable exposure to ECMO cases. To achieve a higher level of training, simulation-based training (SBT) offers an additional option for education and extended clinical skills. SBT could also help to improve the interdisciplinary team interactions. However, the level of ECMO simulators and/or simulations (ECMO sims) techniques may vary in purpose. We present a structured and objective classification of ECMO sims based on the broad experience of users and the developer for the available ECMO sims as low-, mid-, or high-fidelity. This classification is based on overall ECMO sim fidelity, established by taking the median of the definition-based fidelity, component fidelity, and customization fidelity as determined by expert opinion. According to this new classification, only low- and mid-fidelity ECMO sims are currently available. This comparison method may be used in the future for the description of new developments in ECMO sims, making it possible for ECMO sim designers, users, and researchers to compare accordingly, and ultimately improve ECMO patient outcomes. This research was funded by the 2022 “Boost Your Research” Fund in the Priority Program SPP 2014 “Towards an Implantable Lung” by the DFG, the German Research Foundation, grant number 20003297 UKA.
- Published
- 2023