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Simulation-Based Education for Extracorporeal Membrane Oxygenation and Strategies for Implementation: A Systematic

Ryan Ruiyang Ling1, Anamaria Milas, Jeremy King Wang

  • 1From the Yong Loo Lin School of Medicine (R.R.L., K.R.), National University of Singapore, National University Health System, Singapore; Advocate Health & Hospital Corp (A.M.), Chicago, IL; Lee Kong Chian School of Medicine (J.K.W.), Nanyang Technological University, Singapore; Cardiothoracic Intensive Care Unit (K.R.), National University Heart Centre, National University Hospital, National University Health System, Singapore; Hamad Medical Corporation Ambulance Services (G.A.), Doha, Qatar; Weill Cornell Medicine-Qatar (G.A.), Doha, Qatar; School of Health, Medicine, and Life Sciences, University of Hertfordshire (G.A.), Hatfield, UK; Faculty of Health and Life Sciences, Northumbria University (G.A.), Newcastle upon Tyne, UK; Department of Pediatrics (L.C.J.), Yale School of Medicine, New Haven, CT; AUSL Romagna-Bufalini Hospital (M.V.A.), Cesena, Italy; Department of Biomedical (M.V.A.), Metabolic, and Neural Sciences, University of Modena & Reggio Emilia, Modena, Italy; Department of Adult Intensive Care (P.C.K.L.), Queen Mary Hospital, Hong Kong, China; UI Heart and Vascular Center (E.A.M.): The University of Iowa Hospitals and Clinics, Iowa, IA; Hospital San Juan de Dios (R.D.), Santiago, Region Metropolitana, Chile; Hospital Universitatio 12 de Octubre (J.A.R.M.S.), Madrid, Spain; Department of Emergency Medicine (J.B.), University of Washington, Seattle, WA; Department of Pulmonary Critical Care and Sleep Medicine (J.B.), University of Washington, Seattle, WA; Division of Neonatology (M.O.), Children's Hospital of Philadelphia, Philadelphia, PA; Adult Intensive Care Services (K.S.), The Prince Charles Hospital, Brisbane, Queensland, Australia; Institute of Health and Biomedical Innovation (K.S.), Queensland University of Technology, Brisbane Queensland, Australia; School of Medicine (K.S.), University of Queensland, Brisbane, Queensland, Australia; Faculty of Medicine (K.S.), Bond University, Gold Coast, Queensland, Australia; and Division of Pulmonary and Critical Care (B.Z.), Oregon Health and Science University, Portland, OR.

Simulation in Healthcare : Journal of the Society for Simulation in Healthcare
|October 7, 2025
PubMed
Summary

Simulation-based education (SBE) improves healthcare professionals' skills in extracorporeal membrane oxygenation (ECMO) training. While effective, standardized curricula are needed for optimal knowledge and skill retention in ECMO simulation.

Keywords:
Extracorporeal membrane oxygenationeducationsimulationsystematic review

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Area of Science:

  • Medical Education
  • Critical Care Medicine
  • Simulation Technology

Background:

  • Extracorporeal membrane oxygenation (ECMO) requires specialized on-the-job training, which presents significant challenges.
  • Simulation-based education (SBE) is increasingly utilized in healthcare but its efficacy in ECMO is not well-established.

Purpose of the Study:

  • To evaluate the effectiveness of simulation-based education (SBE) for extracorporeal membrane oxygenation (ECMO) training.
  • To synthesize current evidence on SBE's impact on ECMO competency and related skills.

Main Methods:

  • A narrative synthesis of 28 studies investigating SBE in ECMO was conducted.
  • Searches were performed across 4 databases up to May 13, 2022.

Main Results:

  • SBE in ECMO was associated with improved competency scores, confidence, teamwork, and emergency troubleshooting.
  • Simulation training positively impacted times to critical actions and cannulation.
  • No standardized SBE curricula for ECMO were identified across the studies.

Conclusions:

  • Simulation-based education shows promise as an effective training method for ECMO, potentially comparable or superior to conventional methods.
  • Regular simulation training may enhance knowledge and skill retention, though long-term effects require further investigation.
  • Establishing standardized SBE ECMO curricula is crucial for consistent and effective training.