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Normothermic Ex Situ Heart Perfusion in Working Mode: Assessment of Cardiac Function and Metabolism
Published on: January 12, 2019
Evaluation of basic perfusion techniques, ECCSIM-Lite simulator.
Asako Tokumine1, Shinji Ninomiya, Megumi Tokaji
1Department of Clinical Engineering, Hiroshima International University, 555-36 Gakuendai, Kurose-town, Higashi-hiroshima-city, Hiroshima 724-0695, Japan. a-tokumi@hs.hirokoku-u.ac.jp
The Journal of Extra-Corporeal Technology
|July 23, 2010
Summary
Simulator training effectively enhances perfusionist skills. Using ExtraCorporeal Circulation SIMulator (ECCSIM-Lite) with scoring improved trainees
Area of Science:
- Medical Simulation
- Cardiovascular Perfusion Technology
Background:
- Extracorporeal circulation (ECC) carries risks of equipment and operational adverse events.
- Perfusionists require comprehensive training in standard and emergency procedures for patient safety.
Purpose of the Study:
- To evaluate the effectiveness of simulator-based training for perfusionists.
- To assess the impact of the ExtraCorporeal Circulation SIMulator (ECCSIM-Lite) on skill acquisition.
Main Methods:
- Undergraduate students (n=12) underwent repeated training sessions using ECCSIM-Lite with a basic scenario.
- Trainees practiced maintaining reservoir volume and arterial flow, avoiding rapid variations.
- Performance was monitored, and skills were evaluated using a task accomplishment scoring system, including backflow prevention.
Main Results:
- All participants showed improved accomplishment scores after one week of training.
- Flow maintenance skills improved to an average of 78%, with 100% backflow prevention in final sessions.
- Specific scores indicated proficiency in reservoir level maintenance (75%), flow maintenance (92%), and flow reduction (58%).
Conclusions:
- Simulator-based training with objective scoring enhances basic perfusion skills.
- ECCSIM-Lite facilitates the transition from training to clinical practice by providing measurable skill indices.
- This approach offers an effective method for basic skill development and proficiency assessment in perfusion education.
