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Published on: March 12, 2018
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.
Summary Statement:
Simulation-based education (SBE) in health care is expanding in both scope and relevance. As on-the-job training is challenging in extracorporeal membrane oxygenation (ECMO), SBE features strongly in its curricula, yet little is known regarding its efficacy. We searched 4 databases through May 13, 2022 and conducted a narrative synthesis of 28 studies investigating SBE in ECMO. Notably, there were no standardized SBE ECMO curricula among studies. Nonetheless, taken together, these articles suggest that simulation improves competency scores, confidence, teamwork, troubleshooting emergencies, and times to critical actions and cannulation. Though the reporting of SBE in ECMO is heterogeneous, simulation may be comparable to, or more effective than, conventional training methods. Retention of knowledge and skills over time remains unclear though regular simulation training may be beneficial. There is a need to establish standardized ECMO curricula, of which SBE should be a core component.
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