Review Article

Simulation training for crises during venoarterial extracorporeal membrane oxygenation

Simon W. C. Sin, Pauline Y. Ng, Wallace C. W. Ngai, Peter C. K. Lai, Andy Y. T. Mok, Ricky W. K. Chan


Extracorporeal membrane oxygenation (ECMO) education, in particular with regards to crisis management during the provision of venoarterial extracorporeal membrane oxygenation (VA ECMO), is challenging due to its intrinsic characteristics—a complex, high risk, low volume clinical activity which requires dynamic decision making, interdisciplinary teamwork and communication, and rapid response. Simulation training that focuses on crisis resource management and interprofessional communication is well-suited to address these training needs. Institutional commitment to provide both capital and human resources is instrumental to the success of ECMO training programs. Future multicenter studies with standardized training curricula are required to investigate the impact of ECMO simulation training on patient outcome.

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