Abstract
Extra-corporeal membrane oxygenation (ECMO) cannulation can be a stressful procedure because a fast cannulation is vital for the patient’s survival. Therefore, it is important to train the steps of cannulation outside the clinical setting. A relatively low budget, easy to use model, was developed to train the most important steps of an ECMO cannulation. Following this, it was evaluated by experts and target group participants. They all completed a questionnaire regarding their experience and opinions on the ECMO model on general aspects and the training of the component steps, rated on a 5-point Likert scale. Twenty-one participants completed the questionnaire. The features and steps of the model were rated with a mean of 3.9 on average. The haptics of the landscape scored least, with a mean of 3.6, although the haptics of the vessels scored highest with 4.0. The rating of the component steps showed that only ‘opening of the vessels’ was scored significantly different between the expertise levels (means experts: 4.0, target group: 3.4, p = 0.032). This low budget model is considered to be a valid tool to train the component steps of the ECMO cannulation, which could reduce the learning curve in the a stressful clinical setting. Level of evidence: II prospective comparative study.
Highlights
Extra-corporeal membrane oxygenation (ECMO) is an intervention carried out on patients who are in a life-threatening situation due to pulmonary and/or cardiac failure
There are training programs for ECMO cannulation; these are often based on the ECMO system and pathophysiology that has to be overcome with the ECMO treatment [1,2,3,4]
We present a low budget training model for the cannulation of ECMO cannulas in neonates and infants, to train the component steps of the cannulation pediatric surgical trainees in any preclinical setting
Summary
Extra-corporeal membrane oxygenation (ECMO) is an intervention carried out on patients who are in a life-threatening situation due to pulmonary and/or cardiac failure. There are training programs for ECMO cannulation; these are often based on the ECMO system and pathophysiology that has to be overcome with the ECMO treatment [1,2,3,4] These team trainings and system simulations are. There are a few models developed for the training of ECMO cannulation in neonatal and pediatric patients, these are relatively expensive, not readily available and not suitable for routine use to practice cannulation [7]. We present a low budget training model for the cannulation of ECMO cannulas in neonates and infants, to train the component steps of the cannulation pediatric (cardiac) surgical trainees in any preclinical setting
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