4/12/2023 0 Comments Oxygen xml developer reviewAll these factors make the clinical scenario very complex for the involved clinical staff. Because of the high and life-threatening complication risks, nursing care should be performed cautiously, making in-hospital and out-hospital transports challenging. Additionally, the cannulation process (generally carried out via the Seldinger technique) is associated with a relatively high risk of complications. These complications may lead to life-threatening conditions and should promptly be identified and urgently solved. Thrombotic and hemorrhagic events, as well as infections, are the most frequent complications. Therefore, patients on ECMO support usually receive anticoagulation to prevent thrombotic events. Through blood contact with artificial structures and depending on the patient’s condition, the coagulation system may be activated. This comparison method may be used in the future for the description of new developments in ECMO sims, making it possible for ECMO sim designers, users, and researchers to compare accordingly, and ultimately improve ECMO patient outcomes. According to this new classification, only low- and mid-fidelity ECMO sims are currently available. This classification is based on overall ECMO sim fidelity, established by taking the median of the definition-based fidelity, component fidelity, and customization fidelity as determined by expert opinion. We present a structured and objective classification of ECMO sims based on the broad experience of users and the developer for the available ECMO sims as low-, mid-, or high-fidelity. However, the level of ECMO simulators and/or simulations (ECMO sims) techniques may vary in purpose. SBT could also help to improve the interdisciplinary team interactions. To achieve a higher level of training, simulation-based training (SBT) offers an additional option for education and extended clinical skills. High-volume extracorporeal membrane oxygenation (ECMO) centers generally have better outcomes than (new) low-volume ECMO centers, most likely achieved by a suitable exposure to ECMO cases.
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