Medical errors are not infrequent as ecmo patient is extremely critical and technology is complex. Conventional extracorporeal membrane oxygenation ecmo training usually only consists of didactic lectures and water drill of ecmo circuit. A virtual patient free download software is existing, called ecmojo. It is intended for teaching the principles of vv and va ecmo to those working in the fields of intensive care, anaesthesia or perfusion and can be used to simulate both venovenous vv and venoarterial va ecmo in adults. The puncture and cannulation can be practiced using real materials and instruments. Ecmo and cpb device settings such as flows, gas sweep, inflow and outflow cannulae. To further enhance simulation use the clr eigenflow ecmo simulator with 3dmeds ecmo simulation kit. Simulationbased learning is a perfect answer to this by providing participantsauthentic, interactive. With advancement in medical technology, the use of extracorporeal membrane oxygenation ecmo for patients with refractory respiratory and. A real patient can be simulated with all possible conditions that may happen during the procedure. However, learners cannot experience changes of clinical condition of patients. In intensive care medicine, extracorporeal membrane oxygenation ecmo is an extracorporeal technique of providing both cardiac and respiratory support oxygen to patients whose heart and lungs are so severely diseased or damaged that they can no longer serve their function.
Simulation training for crises during venoarterial extracorporeal. Simulationbased learning sbl employs the synergy between technology. The simulator incorporates various mse components which include a. The orpheus perfusion system ulco technologies, marrickville, australia is a technology that has been used for simulationbased cardiopulmonary bypass training of perfusionists on heartlung bypass. Pdf customization of a patient simulator for ecmo training. Ecmojo is a simulator and trainer for extracorporeal membrane oxygenation. Screenbased, highfidelity adult vv and va ecmo simulator. The ecmo simulation prototype consequently improves level of expertise of the healthcare providers and finally improves quality in patient care. The application consists of a graphical user interface to teach physicians, nurses and students the basics of extracorporeal membrane oxygenation. This is especially relevant to ecmo sbe as circuitpatient interactions are difficult to fully simulate without confusing circuit. Opportunities to develop teamwork skills and expertise to.
This allows the use of common catheter types without any problems. Article information, pdf download for enhancing clinical learning. I was surfing the net actually i was looking at the newest perfusion website i have become familiar with a very cool site when i happened across this ecmo simulator and decided to take a look at it manufactures and product insert. Extracorporeal membrane oxygenation ecmo is a highrisk, complex therapy. Simulates patients supported on cardiopulmonary bypass cpb, va ecmo or vv ecmo. Ecmojo is a computer application implemented in java. Select from among 9 different cannulation configurations of ecmo. In this version of the program the weight of the patient is fixed at 75 kgs although the supervisor is able to vary the patient s nominal oxygen utilisation in the range 1 5 mlskgmin. Ecmojo is available for all major operating systems including windows, macintosh, linux and unix.
Through an innovative instructor application for ecmo patient simulators. The mse ecmo simulator is a screenbased implementation of a highfidelity, medical simulation system the modular simulation environment mse. The arteries do have a lumen of 8 mm, the veins of 10 mm. Different human patient simulations for ecmo are available, from a fully equipped. Simulation training on extracorporeal membrane oxygenation. Extracorporeal membrane oxygenation simulationbased training. Enhancing clinical learning through an innovative instructor. Realtime record to assist in formative and summative evaluations. Harviecmo simulation gives access to parameter sets to. Pdf addressing the challenges of ecmo simulation researchgate. Poland is setting up its first regional ecmo program and relies heavily on the use of simulation in testing processes and training. Patients under the errorprone and complicationburdened extracorporeal membrane oxygenation ecmo are looked after by a.
Simulationbased learning is a perfect answer to this by providing participantsauthentic, interactive, teambased training without risk to real patients. Costeffective extracorporeal membrane oxygenation simulation. Harvi ecmo is an online training platform that includes two textbooks harvistudent and physiology of ecmo, an interactive simulation with advanced features related o2 and co2 metabolism and guided tutorials related to extracorporeal membrane oxygenation ecmo and cardiopulmonary bypass cpb. Patient characteristics such as alveolar minute ventilation, dlco, hemoglobin, total body oxygen consumption and respiratory quotient. The patient consists of about 20 realtime models, which can be adjusted by a. Click image above to view site and test drive the simulator. An advanced form of life support that saves lives duration. Infant neck pad pink with incorporated vessels 52mm x 75mm, 2. Prototype of extracorporeal membrane oxygenation ecmo therapy. The parameters of the underlying models are generally indexed to body weight and are appropriate for adults in the range 20 100 kgs. Impact of simulationbased extracorporeal membrane oxygenation.
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