Prototype of extracorporeal membrane oxygenation (ECMO) therapy simulator used in regional ECMO program

Abstract

Background: Simulation is widely accepted as an important tool in training educating healthcare providers. The first regional polish extracorporeal membrane oxygenation (ECMO) program called "ECMO for Greater Poland" was recently started. Methods: We present a prototype for ECMO prepared for high-fidelity medical simulation in extracorporeal life support. ECMO therapy is a complex, difficult expensive therapy in patient care. We have constructed an advanced ECMO simulation prototype, which can be used as a training tool in scenarios that prepare for real-life experiences. The "ECMO for Greater Poland" program uses high-fidelity simulation as a superior tool to simulate several complex clinical scenarios, consequently train healthcare providers in rare, complicated expensive procedures. The training course is standardized allows repeatable training, improvement of skills, an objective verification of trained skills. Results: The ECMO simulation prototype is designed to replicate the physiological circulatory system simulate several scenarios (i.e., bleeding, low pressure, occlusion, reaction for proper incorrect pharmacological treatment). The electronic core control unit (CCU) with silicone tubes, artificial vessels (modified polyethylene) analog components can be connected to an ECMO machine to emulate the human body during an ECMO simulation. If necessary, damaged used parts can easily be replaced. The total cost of the simulator is approximately 450 50 USD for disposable parts. Conclusions: This newly developed advanced ECMO simulation prototype was recently introduced into education regularly training of healthcare providers of the "ECMO for Greater Poland" program. The simulation based training program is financially affordable enables clinical teaching in a wider range of clinical scenarios. The ECMO simulation prototype consequently improves level of expertise of the healthcare providers finally improves quality in patient care.