ECMO simulation: How much, who to train, and a review of cost, fidelity and performance

Sandra Loza-Avalos, Elizabeth DeAtkine, Julie Cox, Bethany Lussier, Matthew Leveno, Linda A. Dultz, Amy Hackmann, Caroline Park

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Background: Extracorporeal Membrane Oxygenation (ECMO) is a high-risk, low-volume procedure requiring repetition, skill and multiple disciplines with fidelity of communication. Yet many barriers exist to maintain proficiency and skills with variable cost and fidelity. We designed and implemented a low-cost monthly ECMO simulation and hypothesized providers would have increased familiarity and improved teamwork. We also review some key elements of cost, fidelity and evaluation of effectiveness. Methods: A structured, 1-hour ECMO simulation was performed on a customized mannikin on a monthly basis in 2022. Qualitative surveys were administered to each member post-simulation. Answers were categorized by theme, including satisfaction of patient care, evaluation of self and team dynamics, and areas for improvement. Results: Most participants were satisfied with their ability to take care of the patient, with common themes of communication and coordination of roles. Identified areas of improvement were mostly limited to technical skills, and soft skills such as communication and teamwork. Conclusions: We designed and implemented a low-cost, monthly and multi-disciplinary ECMO simulation program with overall positive feedback and identified areas for improvement. There remains variability in cost, fidelity and evaluation of performance and retention. There may be a need to create guidelines for ECMO simulation training that can be applied at all institutions utilizing ECMO for patient care.

Original languageEnglish (US)
Pages (from-to)1453-1461
Number of pages9
JournalPerfusion (United Kingdom)
Volume39
Issue number7
DOIs
StatePublished - Oct 2024

Keywords

  • Extracorporeal membrane oxygenation curriculum
  • Extracorporeal membrane oxygenation simulation
  • cost of simulation
  • simulation training
  • skills assessment

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Safety Research
  • Cardiology and Cardiovascular Medicine
  • Advanced and Specialized Nursing

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