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首页> 外文期刊>Advances in neonatal care: official journal of the National Association of Neonatal Nurses >Construction of a Reusable, High-Fidelity Model to Enhance Extracorporeal Membrane Oxygenation Training Through Simulation
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Construction of a Reusable, High-Fidelity Model to Enhance Extracorporeal Membrane Oxygenation Training Through Simulation

机译：构建可重用的高保真模型以通过模拟增强体外膜氧合训练

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摘要

Initiation of extracorporeal membrane oxygenation (ECMO) is stressful, especially for inexperienced extracorporeal life support providers. The main objective of this study was to create a novel, reusable mannequin for high-fidelity simulation of ECMO initiation. We modified a Laerdal neonatal mannequin (SimNewB; Stavanger, Norway) so that it could be used to simulate an ECMO initiation. A simulation of a neonatal patient suffering from meconium aspiration was performed in the pediatric intensive care unit, and participants included new extracorporeal life support specialists in addition to the composition of the clinical ECMO team. A total of 17 individuals participated in the neonatal ECMO initiation simulation. Questionnaire results showed that 88% of participants felt better prepared to assist in an ECMO initiation after the simulation. All participants (100%) agreed that the modified mannequin and the environment were realistic and that this simulation helps teamwork and communication in future initiations of ECMO. Simulation can be used for the prevention, identification, and reduction of anxiety-related crisis situations that novice providers may infrequently encounter during routine clinical use of mechanical circulatory support. Use of a reusable, high-fidelity mannequin may be beneficial for effective team training of complex pediatric ECMO-related procedures.
机译：体外膜氧合（ECMO）的启动非常困难，特别是对于没有经验的体外生命支持提供者。这项研究的主要目的是为ECMO启动的高保真度仿真创建一个新颖的，可重复使用的人体模型。我们修改了Laerdal新生儿人体模型（SimNewB;挪威斯塔万格），以便可以用来模拟ECMO启动。在儿科重症监护室对患有胎粪吸入的新生儿患者进行了模拟，除了临床ECMO团队的组成外，参与者还包括新的体外生命支持专家。共有17个人参加了新生儿ECMO启动模拟。问卷调查结果显示，有88％的参与者感到在模拟之后准备更好地协助ECMO启动。所有参与者（100％）都同意修改后的人体模型和环境是现实的，并且此模拟有助于ECMO的未来启动中的团队合作和沟通。仿真可以用于预防，识别和减少焦虑相关的危机情况，新手提供者在常规的机械循环支持临床使用中可能很少会遇到这种情况。使用可重复使用的高保真人体模型可能对复杂的儿科ECMO相关程序的有效团队培训有益。

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