Extracorporeal Membrane Oxygenation (ECMO) Training Program in A Pediatric Cardiac Intensive Care Unit: An 8-Year Single-Center Experience in Argentina
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 res...
| Main Authors: | , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Sociedade Brasileira de Cirurgia Cardiovascular
2022-11-01
|
| Series: | Brazilian Journal of Cardiovascular Surgery |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382022000500654&lng=en&tlng=en |
| _version_ | 1798018628692475904 |
|---|---|
| author | María Luisa Pilan Mariela Krynski Guillermo Eduardo Moreno Gisela M. Ponce Ricardo E. Rodríguez Estela R. Domínguez Carlos Javier Cornelis Maria Mercedes Montonati Ana Miriam Lenz Maria Belen Desocio Nélida N. Bravo Juan Carlos Vassallo Silvia N. Santos Gabriela V. Rodríguez Barbara Cordisco Maria J. Althabe |
| author_facet | María Luisa Pilan Mariela Krynski Guillermo Eduardo Moreno Gisela M. Ponce Ricardo E. Rodríguez Estela R. Domínguez Carlos Javier Cornelis Maria Mercedes Montonati Ana Miriam Lenz Maria Belen Desocio Nélida N. Bravo Juan Carlos Vassallo Silvia N. Santos Gabriela V. Rodríguez Barbara Cordisco Maria J. Althabe |
| author_sort | María Luisa Pilan |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-11T16:27:26Z |
| format | Article |
| id | doaj.art-dc088654be8549b28c12c3f16e894c85 |
| institution | Directory Open Access Journal |
| issn | 1678-9741 |
| language | English |
| last_indexed | 2024-04-11T16:27:26Z |
| publishDate | 2022-11-01 |
| publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
| record_format | Article |
| series | Brazilian Journal of Cardiovascular Surgery |
| spelling | doaj.art-dc088654be8549b28c12c3f16e894c852022-12-22T04:14:09ZengSociedade Brasileira de Cirurgia CardiovascularBrazilian Journal of Cardiovascular Surgery1678-97412022-11-0137565466210.21470/1678-9741-2021-0560Extracorporeal Membrane Oxygenation (ECMO) Training Program in A Pediatric Cardiac Intensive Care Unit: An 8-Year Single-Center Experience in ArgentinaMaría Luisa Pilanhttps://orcid.org/0000-0002-7522-8283Mariela KrynskiGuillermo Eduardo MorenoGisela M. PonceRicardo E. RodríguezEstela R. DomínguezCarlos Javier CornelisMaria Mercedes MontonatiAna Miriam LenzMaria Belen DesocioNélida N. BravoJuan Carlos VassalloSilvia N. SantosGabriela V. RodríguezBarbara CordiscoMaria J. AlthabeABSTRACT 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382022000500654&lng=en&tlng=enExtracorporeal Membrane OxygenationSimulationContinuing EducationTraining CoursesEducationIntensive Care UnitsDemographic Data |
| spellingShingle | María Luisa Pilan Mariela Krynski Guillermo Eduardo Moreno Gisela M. Ponce Ricardo E. Rodríguez Estela R. Domínguez Carlos Javier Cornelis Maria Mercedes Montonati Ana Miriam Lenz Maria Belen Desocio Nélida N. Bravo Juan Carlos Vassallo Silvia N. Santos Gabriela V. Rodríguez Barbara Cordisco Maria J. Althabe Extracorporeal Membrane Oxygenation (ECMO) Training Program in A Pediatric Cardiac Intensive Care Unit: An 8-Year Single-Center Experience in Argentina Brazilian Journal of Cardiovascular Surgery Extracorporeal Membrane Oxygenation Simulation Continuing Education Training Courses Education Intensive Care Units Demographic Data |
| title | Extracorporeal Membrane Oxygenation (ECMO) Training Program in A Pediatric Cardiac Intensive Care Unit: An 8-Year Single-Center Experience in Argentina |
| title_full | Extracorporeal Membrane Oxygenation (ECMO) Training Program in A Pediatric Cardiac Intensive Care Unit: An 8-Year Single-Center Experience in Argentina |
| title_fullStr | Extracorporeal Membrane Oxygenation (ECMO) Training Program in A Pediatric Cardiac Intensive Care Unit: An 8-Year Single-Center Experience in Argentina |
| title_full_unstemmed | Extracorporeal Membrane Oxygenation (ECMO) Training Program in A Pediatric Cardiac Intensive Care Unit: An 8-Year Single-Center Experience in Argentina |
| title_short | Extracorporeal Membrane Oxygenation (ECMO) Training Program in A Pediatric Cardiac Intensive Care Unit: An 8-Year Single-Center Experience in Argentina |
| title_sort | extracorporeal membrane oxygenation ecmo training program in a pediatric cardiac intensive care unit an 8 year single center experience in argentina |
| topic | Extracorporeal Membrane Oxygenation Simulation Continuing Education Training Courses Education Intensive Care Units Demographic Data |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382022000500654&lng=en&tlng=en |
| work_keys_str_mv | AT marialuisapilan extracorporealmembraneoxygenationecmotrainingprograminapediatriccardiacintensivecareunitan8yearsinglecenterexperienceinargentina AT marielakrynski extracorporealmembraneoxygenationecmotrainingprograminapediatriccardiacintensivecareunitan8yearsinglecenterexperienceinargentina AT guillermoeduardomoreno extracorporealmembraneoxygenationecmotrainingprograminapediatriccardiacintensivecareunitan8yearsinglecenterexperienceinargentina AT giselamponce extracorporealmembraneoxygenationecmotrainingprograminapediatriccardiacintensivecareunitan8yearsinglecenterexperienceinargentina AT ricardoerodriguez extracorporealmembraneoxygenationecmotrainingprograminapediatriccardiacintensivecareunitan8yearsinglecenterexperienceinargentina AT estelardominguez extracorporealmembraneoxygenationecmotrainingprograminapediatriccardiacintensivecareunitan8yearsinglecenterexperienceinargentina AT carlosjaviercornelis extracorporealmembraneoxygenationecmotrainingprograminapediatriccardiacintensivecareunitan8yearsinglecenterexperienceinargentina AT mariamercedesmontonati extracorporealmembraneoxygenationecmotrainingprograminapediatriccardiacintensivecareunitan8yearsinglecenterexperienceinargentina AT anamiriamlenz extracorporealmembraneoxygenationecmotrainingprograminapediatriccardiacintensivecareunitan8yearsinglecenterexperienceinargentina AT mariabelendesocio extracorporealmembraneoxygenationecmotrainingprograminapediatriccardiacintensivecareunitan8yearsinglecenterexperienceinargentina AT nelidanbravo extracorporealmembraneoxygenationecmotrainingprograminapediatriccardiacintensivecareunitan8yearsinglecenterexperienceinargentina AT juancarlosvassallo extracorporealmembraneoxygenationecmotrainingprograminapediatriccardiacintensivecareunitan8yearsinglecenterexperienceinargentina AT silviansantos extracorporealmembraneoxygenationecmotrainingprograminapediatriccardiacintensivecareunitan8yearsinglecenterexperienceinargentina AT gabrielavrodriguez extracorporealmembraneoxygenationecmotrainingprograminapediatriccardiacintensivecareunitan8yearsinglecenterexperienceinargentina AT barbaracordisco extracorporealmembraneoxygenationecmotrainingprograminapediatriccardiacintensivecareunitan8yearsinglecenterexperienceinargentina AT mariajalthabe extracorporealmembraneoxygenationecmotrainingprograminapediatriccardiacintensivecareunitan8yearsinglecenterexperienceinargentina |