Department of Adult Intensive Care, Queen Mary Hospital, Hong Kong, China.
Pediatric Cardiac ICU Division, National Cardiovascular Center Harapan Kita, Jakarta, Indonesia.
Perfusion. 2023 Jul;38(5):1029-1036. doi: 10.1177/02676591221093868. Epub 2022 May 11.
Extracorporeal membrane oxygenation (ECMO) is a supportive therapy used in the most severe forms of acute respiratory distress syndrome. Due to its intrinsic complexity and relatively low annual volume, simulation is essential for efficient and appropriate ECMO management. COVID-19 has limited the opportunities for high-fidelity in-person simulation training when many hospitals are looking to expand their ECMO services to battle the ongoing pandemic. To meet this demand, the National Cardiovascular Center Harapan Kita, Jakarta, Indonesia, conducted a 3-day ECMO course entailing online didactic lectures (adult and paediatric stream), water drills and telesimulation.
The purpose of the study is to report the evaluation result of this novel model of education during COVID-19 outbreak.
Participants were given an ECMO knowledge pre-course and post-course test and a telesimulation evaluation survey at the conclusion and these data were collected.
The course was attended by 104 physicians, critical care nurses and perfusionists. Pre-course and post-course assessments showed a significant improvement in ECMO knowledge (60.0% vs 73.3%, respectively). Overall, the participants rated the telesimulation positively, and most found it acceptable to in-person simulation training considering the pandemic restrictions.
Despite the complexities of ECMO, our recent experience demonstrates ECMO education and simulation delivered online is feasible, welcomed and supportive of a change in ECMO training course format. As we incorporate more innovative digital technologies, telesimulation may further enhance the quality of future ECMO training.
体外膜肺氧合（ECMO）是一种用于治疗严重急性呼吸窘迫综合征的支持性疗法。由于其内在的复杂性和相对较低的年容量，模拟对于高效和适当的 ECMO 管理至关重要。由于 COVID-19 的影响，当许多医院都希望扩大 ECMO 服务以应对持续的大流行时，高保真度的现场模拟培训机会受到了限制。为了满足这一需求，印度尼西亚雅加达的国家心血管中心哈兰帕基塔（National Cardiovascular Center Harapan Kita）开展了为期 3 天的 ECMO 课程，包括在线理论讲座（成人和儿科）、水练习和远程模拟。
本研究旨在报告在 COVID-19 大流行期间开展这种新型教育模式的评估结果。
在课程结束时，参与者接受了 ECMO 知识课前和课后测试以及远程模拟评估调查，并收集了这些数据。
共有 104 名医生、重症监护护士和灌注师参加了该课程。课前和课后评估显示 ECMO 知识有显著提高（分别为 60.0%和 73.3%）。总的来说，参与者对远程模拟给予了积极评价，考虑到大流行的限制，大多数人认为它可以替代现场模拟培训。
尽管 ECMO 复杂，但我们的最新经验表明，在线提供的 ECMO 教育和模拟是可行的、受欢迎的，并支持改变 ECMO 培训课程模式。随着我们整合更多创新的数字技术，远程模拟可能会进一步提高未来 ECMO 培训的质量。
