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. 2022 Nov 8;37(5):654-662.
doi: 10.21470/1678-9741-2021-0560.

Extracorporeal Membrane Oxygenation (ECMO) Training Program in A Pediatric Cardiac Intensive Care Unit: An 8-Year Single-Center Experience in Argentina

María Luisa Pilan  1 , Mariela Krynski  1 , Guillermo Eduardo Moreno  1 , Gisela M Ponce  1 , Ricardo E Rodríguez  1 , Estela R Domínguez  1 , Carlos Javier Cornelis  2 , Maria Mercedes Montonati  1 , Ana Miriam Lenz  1 , Maria Belen Desocio  1 , Nélida N Bravo  3 , Juan Carlos Vassallo  3 , Silvia N Santos  3 , Gabriela V Rodríguez  3 , Barbara Cordisco  1 , Maria J Althabe  1
Affiliations

Extracorporeal Membrane Oxygenation (ECMO) Training Program in A Pediatric Cardiac Intensive Care Unit: An 8-Year Single-Center Experience in Argentina

María Luisa Pilan et al. Braz J Cardiovasc Surg. .

Abstract

Introduction: Extracorporeal membrane oxygenation (ECMO) for temporary cardiopulmonary support is one of the most intense and technologically complex therapies offered in medicine. It is a high-risk procedure that requires specific knowledge and technical skills to perform it with good results.

Objective: The main goal of this study is to describe our extracorporeal membrane oxygenation (ECMO) training program based on the study of specialized nurses and physicians of a simulation teaching experience, conducted in a pediatric cardiac intensive care unit. The program was developed as a theoretical-practical course with final exam and annual maintenance training sessions, caring for ECMO patients, its implementation and results.

Methods: A descriptive study for registered nurses, intensivists, and cardiac surgeons. A self-administered, anonymous, and voluntary survey was conducted to assess the long-term perception about the program. Demographic data to describe the population was required, and questions about satisfaction and confidence in acquired skills and competences were asked. A descriptive statistical analysis was performed; patient survival and complications were compared before and after ECMO program using chi-square test, and P<0.05 was considered statistically significant.

Results: Twenty-four training courses were performed for 68 professionals. More than 88% of the professionals considered the course components to be adequate and complete; and 94% felt trained to manage the ECMO circuit. Most valued activities were workshops and clinical cases. Since the implementation of the training program, 88 patients were assisted, with a survival rate at discharge of 58%, higher than in the previous period (P=0.03).

Conclusion: More than 80% of the professionals considered the workshops and simulations as the most useful components. Reliance on the circuit care was higher than in training problem scenarios. Since 2013 we assisted 88 patients on ECMO, with a survival rate at discharge of 58%, within international standards results.

Keywords: Continuing Education; Demographic Data; Education; Extracorporeal Membrane Oxygenation; Intensive Care Units; Simulation; Training Courses.

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Conflict of interest statement

No conflict of interest.

Figures

Fig. 1
Fig. 1
Survey after each teaching activity.
Fig. 2
Fig. 2
ECMO training program stages.
Fig. 3
Fig. 3
Perceived skills to solve situations after training. Confidence in ECMO circuit care was higher than in other situations.
Fig. 4
Fig. 4
Course components usefulness assessment (%). The most valued components were clinical cases and priming workshops.
None
See this image and copyright information in PMC

References

    1. Thiagarajan RR. Extracorporeal membrane oxygenation for cardiac indications in children. Pediatr Crit Care Med. 2016;17(8 Suppl 1):S155–9. doi: 10.1097/PCC.0000000000000753. - DOI - PubMed
    1. Althabe M, Rodríguez R R, Balestrini M, Charroqui A, Krynski M, Lenz AM, et al. Morbidity in congenital heart surgery in a public hospital in Argentina. Arch Argent Pediatr. 2018;116(1):e14–8. doi: 10.5546/aap.2018.eng.e14. - DOI - PubMed
    1. Pilan ML, Moreno G, Krynski M, Ponce G, Montonati M, Lenz M, et al. Extracorporeal membrane oxygenation in pediatric cardiovascular care: experience of a center in Argentina. Arch Argent Pediatr. 2019;117(3):157–163. doi: 10.5546/aap.2019.eng.157. - DOI - PubMed
    1. Extracorporeal Life Support Organization (ELSO) ELSO Guidelines for Training and Continuing Education of ECMO Specialists [Internet] Ann Arbor (MI): ELSO; Feb. 2010. [cited 2021 Oct 28]. p. 9. version 1.5. Available from: Archive.
    1. ECMO - Extracorporeal Membrane Oxygenation . ECLS Registry Report International Summary. Ann Arbor (MI): ECMO; Apr. 2021. [cited 2022 Jul. 17]. Available from: https://www.elso.org/Registry/Statistics/InternationalSummary.aspx .

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