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BEST Life-"Bringing ECMO Simulation To Life"-How Medical Simulation Improved a Regional ECMO Program
Mateusz Puślecki1,2, Marcin Ligowski2, Marek Dąbrowski1,3
1Department of Medical Rescue, Poznan University of Medical Sciences, Poznan, Poland.
Artificial Organs
|July 26, 2018
Summary
The "ECMO for Greater Poland" program successfully uses extracorporeal membrane oxygenation (ECMO) for critical patients, including those with hypothermia and respiratory failure. Medical simulation training proved vital for implementing complex ECMO procedures and increasing organ donation.
Area of Science:
- Cardiology
- Intensive Care Medicine
- Transplantation Surgery
Background:
- The
Purpose of the Study:
- To implement and evaluate the
Main Methods:
- Advanced high-fidelity medical simulation was used to develop algorithms and train staff.
- Standardized operating procedures for ECMO implementation and road transportation were created.
- ECMO perfusion therapy was applied to various critical patient groups.
Main Results:
- 38 ECMO procedures were performed, including five road transports and four Maastricht category II donation after circulatory death (DCD) procedures.
- Two successful kidney transplantations were performed following DCD.
- ECMO was utilized for hypothermia, reversible respiratory failure (RRF), and heart failure in adult and pediatric patients, with successful outcomes, particularly in VV ECMO therapy.
- One pediatric patient was successfully treated after a 200 km road transport on ECMO.
Conclusions:
- Simulation-based training was crucial for establishing a successful ECMO procedural chain and minimizing errors.
- Medical simulation effectively prepared professionals and promoted ECMO therapy for critical conditions.
- The program increased the organ pool from DCD in the Greater Poland region.