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Veno-Venous Extracorporeal Membrane Oxygenation in a Mouse
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Published on: October 24, 2018

Simulating extracorporeal membrane oxygenation emergencies to improve human performance. Part I: methodologic and

JoDee M Anderson1, Kristine B Boyle, Allison A Murphy

  • 1Department of Pediatrics, Oregon Health Science University, Portland, OR 97239-1077, USA. andejode@ohsu.edu

Simulation in Healthcare : Journal of the Society for Simulation in Healthcare
|December 18, 2008
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Simulation-based training, ECMO Sim, enhances critical skills for managing extracorporeal membrane oxygenation (ECMO) emergencies. This active learning approach is more effective and preferred over traditional methods for improving patient survival.

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Area of Science:

  • Medical Simulation
  • Cardiopulmonary Bypass
  • Healthcare Education

Background:

  • Extracorporeal membrane oxygenation (ECMO) is a critical life support system for severe cardiorespiratory failure.
  • Mechanical emergencies during ECMO carry a high mortality rate (25%).
  • Traditional ECMO training lacks real-time clinical cue recognition and active learning components.

Purpose of the Study:

  • To develop and evaluate ECMO Sim, a simulation-based training program for ECMO crisis management.
  • To compare the effectiveness of simulation-based training with traditional ECMO training methods.
  • To assess the impact of simulation on technical, behavioral, and critical thinking skills.

Main Methods:

  • A simulated neonatal intensive care unit environment was created using a manikin, ECMO circuit, and realistic monitoring.
  • Twenty-five healthcare professionals experienced in ECMO participated in simulated emergencies.
  • Participants completed questionnaires comparing ECMO Sim to traditional training; active learning time was quantified.

Main Results:

  • ECMO Sim successfully simulated realistic physiological changes and clinical cues.
  • All participants rated the simulation as highly realistic and more effective than traditional training.
  • Simulation-based training significantly increased active learning (78% vs. 14%) and improved skill acquisition.

Conclusions:

  • Simulation-based training, like ECMO Sim, offers a realistic and effective method for ECMO crisis management education.
  • This approach provides superior active learning opportunities compared to traditional didactic methods.
  • Experienced healthcare professionals overwhelmingly prefer simulation for developing essential ECMO management skills.