Abstract：
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. To achieve a higher level of training, simulation-based training (SBT) offers an additional option for education and extended clinical skills. SBT could also help to improve the interdisciplinary team interactions. However, the level of ECMO simulators and/or simulations (ECMO sims) techniques may vary in purpose. 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. 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. According to this new classification, only low- and mid-fidelity ECMO sims are currently available. 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.
摘要：
高容量体外膜氧合（ECMO）中心通常比（新的）低容量ECMO中心具有更好的结果，最有可能通过适当接触ECMO病例来实现。要达到更高水平的训练,基于模拟的培训（SBT）为教育和扩展临床技能提供了额外的选择。SBT还可以帮助改善跨学科团队互动。然而,ECMO模拟器和/或模拟（ECMO模拟）技术的水平可能会有所不同。我们根据用户和开发人员的广泛经验，对可用的ECMOsims进行了结构化和客观的分类，mid-,或高保真。此分类基于整体ECMOSIM保真度，通过采用基于定义的保真度的中位数来建立，组件保真度，和由专家意见确定的定制保真度。根据这个新的分类,目前只有低保真度和中保真度ECMOsims可用。这种比较方法将来可能会用于描述ECMO模拟模拟新的发展，使ECMOSIM卡设计师成为可能，用户,和研究人员进行相应的比较，并最终改善ECMO患者的预后。
