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Research in ECMO Simulation: A Review of the Literature

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Comprehensive Healthcare Simulation: ECMO Simulation

Part of the book series: Comprehensive Healthcare Simulation ((CHS))

Abstract

Research in manikin-based ECMO simulation has emerged only in the last 15 years. Early studies in ECMO simulation focused on the development of equipment and models for ECMO simulation as well as the feasibility and effectiveness of new ECMO simulation programs (Allan CK, Thiagarajan RR, Beke D, Imprescia A, Kappus LJ, Garden A, et al. Simulation-based training delivered directly to the pediatric cardiac intensive care unit engenders preparedness, comfort, and decreased anxiety among multidisciplinary resuscitation teams. J Thorac Cardiovasc Surg. 2010;140(3):646–52. Anderson JM, Boyle KB, Murphy AA, Yaeger KA, LeFlore J, Halamek LP. Simulating extracorporeal membrane oxygenation emergencies to improve human performance. Part I: methodologic and technologic innovations. Simul Healthc. 2006;1(4):220–7. Thompson JL, Grisham LM, Scott J, Mogan C, Prescher H, Biffar D, et al. Construction of a reusable, high-fidelity model to enhance extracorporeal membrane oxygenation training through simulation. Adv Neonatal Care. 2014;14(2):103–9). Research in ECMO simulation has expanded to include validation of training methods and assessment of the impact of ECMO simulation on patient outcomes. Effective models and innovative educational programs have been developed but this work has been limited primarily to single-center, observational studies (Allan CK, Pigula F, Bacha EA, Emani S, Fynn-Thompson F, Thiagarajan RR, et al. An extracorporeal membrane oxygenation cannulation curriculum featuring a novel integrated skills trainer leads to improved performance among pediatric cardiac surgery trainees. Simul Healthc. 2013;8(4):221–8. Burkhart HM, Riley JB, Lynch JJ, Suri RM, Greason KL, Joyce LD, et al. Simulation-based postcardiotomy extracorporeal membrane oxygenation crisis training for thoracic surgery residents. Ann Thorac Surg. 2013;95(3):901–6. Su L, Spaeder MC, Jones MB, Sinha P, Nath DS, Jain PN, et al. Implementation of an extracorporeal cardiopulmonary resuscitation simulation program reduces extracorporeal cardiopulmonary resuscitation times in real patients. Pediatr Crit Care Med. 2014;15(9):856–60). Future efforts are needed to develop and assess simulation scenarios for sources of validity evidence. To allow for standardization of content amongst programs for initial training and maintenance of competency, collaboration between ECMO centers and across specialties will be critical. Extracorporeal Life Support Organization (ELSO) may provide a means by which to connect centers and ECMO providers. An important future area of research will be evaluating the effect of ECMO simulation training on patient outcomes. This chapter will summarize the current research in ECMO simulation and highlight potential areas for new investigation.

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Authors and Affiliations

  1. Department of Pediatrics, Penn State Health Milton S. Hershey Medical Center/Penn State College of Medicine, Hershey, PA, USA

    Kristen M. Glass

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  1. Kristen M. Glass
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Correspondence to Kristen M. Glass .

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Editors and Affiliations

  1. School of Medicine, Yale University, New Haven, CT, USA

    Lindsay C. Johnston

  2. School of Medicine, Stanford University, Stanford, CA, USA

    Lillian Su

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Glass, K.M. (2021). Research in ECMO Simulation: A Review of the Literature. In: Johnston, L.C., Su, L. (eds) Comprehensive Healthcare Simulation: ECMO Simulation. Comprehensive Healthcare Simulation. Springer, Cham. https://doi.org/10.1007/978-3-030-53844-6_17

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  • DOI: https://doi.org/10.1007/978-3-030-53844-6_17

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