scholarly journals A Modular Approach for a Patient Unit for Extracorporeal Membrane Oxygenation Simulator

Membranes ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. 424
Author(s):  
Yahya Alhomsi ◽  
Abdullah Alsalemi ◽  
Mohammad Noorizadeh ◽  
Faycal Bensaali ◽  
Nader Meskin ◽  
...  
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Real Life ◽  
Cost Effective ◽  
Training Process ◽  
New Approach ◽  
Membrane Oxygenation ◽  
Audio Cues ◽  
Effective Manner ◽  
Simulation Based ◽  
Emergency Scenarios

Despite many advancements in extracorporeal membrane oxygenation (ECMO), the procedure is still correlated with a high risk of patient complications. Simulation-based training provides the opportunity for ECMO staff to practice on real-life scenarios without exposing ECMO patients to medical errors while practicing. At Hamad Medical Corporation (HMC) in Qatar, there is a critical need of expert ECMO staff. Thus, a modular ECMO simulator is being developed to enhance the training process in a cost-effective manner. This ECMO simulator gives the instructor the ability to control the simulation modules and run common simulation scenarios through a tablet application. The core modules of the simulation system are placed in the patient unit. The unit is designed modularly such that more modules can be added throughout the simulation sessions to increase the realism of the simulation sessions. The new approach is to enclose the patient unit in a trolley, which is custom-designed and made to include all the components in a modular fashion. Each module is enclosed in a separate box and then mounted to the main blood simulation loop box using screws, quick connect/disconnect liquid fittings, and electrical plugs. This method allows fast upgrade and maintenance for each module separately as well as upgrading modules easily without modifying the trolley’s design. The prototype patient unit has been developed for portability, maintenance, and extensibility. After implementation and testing, the prototype has proven to successfully simulate the main visual and audio cues of the real emergency scenarios, while keeping costs to a minimum.

scholarly journals A skills acquisition study on ECMOjo: a screen-based simulator for extracorporeal membrane oxygenation

Perfusion ◽  
2019 ◽  
Vol 35 (2) ◽  
pp. 110-116 ◽  
Author(s):  
Abdullah Alsalemi ◽  
Len Tanaka ◽  
Mark Ogino ◽  
Mohammed Al Disi ◽  
Yahya Alhomsi ◽  
...  
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Cognitive Skills ◽  
Cost Effective ◽  
Skills Acquisition ◽  
Behavioral Skills ◽  
Didactic Teaching ◽  
Membrane Oxygenation ◽  
Effective Manner ◽  
Simulation Based ◽  
Educational Efficacy

Background: Extracorporeal membrane oxygenation relies heavily on didactic teaching, emphasizing on essential cognitive skills, but overlooking core behavioral skills such as leadership and communication. Therefore, simulation-based training has been adopted to instill clinical knowledge through immersive experiences. Despite simulation-based training’s effectiveness, training opportunities are lessened due to high costs. This is where screen-based simulators come into the scene as affordable and realistic alternatives. Aim: This article evaluates the educational efficacy of ECMOjo, an open-source screen-based extracorporeal membrane oxygenation simulator that aims to replace extracorporeal membrane oxygenation didactic instruction in an interactive and cost-effective manner. Method: A prospective cohort skills acquisition study was carried out. A total of 44 participants were pre-assessed, divided into two groups, where the first group received traditional didactic teaching, and the second used ECMOjo. Participants were then evaluated through a wet lab assessment and two questionnaires. Results: The obtained results indicate that the two assessed groups show no statistically significant differences in knowledge and efficacy. Hence, ECMOjo is considered an alternative to didactic teaching as per the learning outcomes. Conclusion: The present findings show no significant dissimilarities between ECMOjo and didactic classroom-based teaching. Both methods are very comparable in terms of the learner’s reported self-efficacy and complementary to mannequin-based simulations.

scholarly journals Cost-Effective Extracorporeal Membrane Oxygenation Simulation

2018 ◽  
Vol 02 (01) ◽  
pp. 005-009 ◽  
Author(s):  
Guillaume Alinier
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Best Practice ◽  
Life Support ◽  
Extracorporeal Life Support ◽  
Low Cost ◽  
Cost Effective ◽  
Emergency Situations ◽  
Membrane Oxygenation ◽  
Ensure Patient Safety ◽  
Simulation Based

AbstractThis invited review article was presented orally on the occasion of the South West Asian Chapter conference of the Extracorporeal Life Support Organization (ELSO) held in New Delhi, India in January 2018. It has an educational focus on the topic of extracorporeal membrane oxygenation (ECMO), which is increasingly being used as a lifesaving bridge therapy. A case is being made regarding the adage “practice makes perfect” to be considered in the context of simulation-based education to ensure patient safety. Technology-enhanced simulation-based deliberate practice should be used more commonly to support clinicians in the development of all their professional skills. This is an ethical imperative that may be addressed using low-cost simulation modalities that are sometimes proven to be as effective as more expensive approaches. Educators can now design their programs according to published best practice standards for the benefit of their learners, and ultimately the patients they care for. Simulation-based education clearly has a place and important role to play in preparing ECMO teams dealing with routine procedures as well as emergency situations. Several solution and approaches are being presented alongside innovative work currently being done in collaboration between a regional ELSO center of excellence and an academic institution. This innovative simulator is composed of several modules serving different functions required for the simulation of ECMO emergencies at a much lower cost than using the real machine and its various expensive disposable components.

scholarly journals The Southern California Extracorporeal Membrane Oxygenation Consortium during the Coronavirus Disease 2019 Pandemic

2021 ◽  
pp. 1-21
Author(s):  
Mazen Odish ◽  
Cassia Yi ◽  
Juliann Eigner ◽  
Amelia Kenner Brininger ◽  
Kristi L. Koenig ◽  
...  
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
San Diego ◽  
Southern California ◽  
Limited Resource ◽  
The United States ◽  
San Diego County ◽  
Clinical Practices ◽  
Membrane Oxygenation ◽  
Effective Manner ◽  
Share Data

Abstract In March 2020, at the onset of the coronavirus disease 2019 (COVID-19) pandemic in the United States, the Southern California Extracorporeal Membrane Oxygenation (ECMO) Consortium was formed. The consortium included physicians and coordinators from the four ECMO centers in San Diego County. Guidelines were created to ensure that ECMO was delivered equitably and in a resource effective manner across the county during the pandemic. A biomedical ethicist reviewed the guidelines to ensure ECMO utilization would provide maximal community benefit of this limited resource. The San Diego County Health and Human Services Agency further incorporated the guidelines into its plans for the allocation of scarce resources. The consortium held weekly video conferences to review countywide ECMO capacity (including census and staffing), share data, and discuss clinical practices and difficult cases. Equipment exchanges between ECMO centers maximized regional capacity. From March 1 to November 30, 2020, consortium participants placed 97 patients on ECMO. No eligible patients were denied ECMO due to lack of resources or capacity. The Southern California ECMO Consortium may serve as a model for other communities seeking to optimize ECMO resources during the current COVID-19 or future pandemics.

Simulation-Based Postcardiotomy Extracorporeal Membrane Oxygenation Crisis Training for Thoracic Surgery Residents

2013 ◽  
Vol 95 (3) ◽  
pp. 901-906 ◽  
Author(s):  
Harold M. Burkhart ◽  
Jeffrey B. Riley ◽  
James J. Lynch ◽  
Rakesh M. Suri ◽  
Kevin L. Greason ◽  
...  
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Thoracic Surgery ◽  
Membrane Oxygenation ◽  
Simulation Based

The role of simulation to support donation after circulatory death with extracorporeal membrane oxygenation (DCD-ECMO)

Perfusion ◽  
2017 ◽  
Vol 32 (8) ◽  
pp. 624-630 ◽  
Author(s):  
Mateusz Puślecki ◽  
Marcin Ligowski ◽  
Marek Dąbrowski ◽  
Maciej Sip ◽  
Sebastian Stefaniak ◽  
...  
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Time Perspective ◽  
Life Support ◽  
Real Life ◽  
Organizational Capabilities ◽  
The Real ◽  
Membrane Oxygenation ◽  
First Case ◽  
Kidney Transplantations ◽  
Circulatory Death

Maintaining the viability of organs from donors after circulatory death (DCD) for transplantation is a complicated procedure, from a time perspective in the absence of appropriate organizational capabilities, that makes such transplantation cases difficult and not yet widespread in Poland. We present the procedural preparation for Poland’s first case of organ (kidney) transplantation from a DCD donor in which perfusion was supported by extracorporeal membrane oxygenation (ECMO). Because this organizational model is complex and expensive, we used advanced high-fidelity medical simulation to prepare for the real-life implementation. The real time scenario included all crucial steps: prehospital identification, cardiopulmonary resuscitation (CPR), advanced life support (ALS); perfusion therapy (CPR-ECMO or DCD-ECMO); inclusion and exclusion criteria matching, suitability for automated chest compression; DCD confirmation and donor authorization, ECMO organs recovery; kidney harvesting. The success of our first simulated DCD-ECMO procedure in Poland is reassuring. Soon after this simulation, Maastricht category II DCD procedures were performed, involving real patients and resulting in two successful double kidney transplantations. During debriefing, it was found that the previous simulation-based training provided the experience to build a successful procedural chain, to eliminate errors at the stage of identification, notification, transportation, donor qualifications and ECMO organ perfusion to create DCD-ECMO algorithm architecture.

Evaluation of the quality of local butters: A new approach based on Raman spectroscopy and supported by the classical pycnometer method

2019 ◽  
Vol 26 (2) ◽  
pp. 113-122
Author(s):  
Stefan-Marian Iordache ◽  
Eduard Gatin ◽  
Ana-Maria Iordache ◽  
Catalin Luculescu
Keyword(s):  
Raman Spectroscopy ◽  
Cost Effective ◽  
Polymorphic Transition ◽  
New Approach ◽  
Isomer Content ◽  
Effective Manner ◽  
Density Values ◽  
Different Characteristics ◽  
Analytical Tools

In this study, the quality of the local Romanian butters was investigated using the classical pycnometer and optic microscopy methods, combined with Raman spectroscopy. We used a pool of 10 samples with different characteristics, and analyzed them by the three aforementioned methods. Pycnometric measurements showed a direct correlation between the fat content and the density values of the samples. Raman spectroscopy validated the results from the pycnometric measurements and the optical microscopy and indicated several other properties, such as protein content, hydration, saturation level of the polycarbonate chains, as well as the total cis isomer content and the type of arrangement preferred by the aliphatic chains (polymorphic transition). The methods employed in the present study have a strong potential to become analytical tools for the food industry and food safety agencies in order to assess the quality of butters and margarines, in a fast and cost-effective manner.

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