When High-Realism and Cost-Effectiveness Meet: Simulating Extracorporeal Membrane Oxygenation

ABSTRACT

Simulators for extracorporeal membrane oxygenation (ECMO) are generally haunted by bulky devices and low-fidelity methodologies. Ongoing efforts optimizing modern solutions for such issues, focusing on minimizing expenses and blending training with the intensive care unit. This is particularly evident, following the Coronavirus pandemic, where economical resources are extensively cut. Upon reviewing the state-ofthe- A rt and developing a strong collaboration with Hamad Medical Corporation (HMC), Qatar's leading provider of healthcare, requirements have been established for the development upon the cutting-edge. This work introduces a high-realism, cost-effective simulator for ECMO for adult patients. Specifically, the system's core relies on a thermochromic module that simulates blood color changes through an innovative reversible technology. On top, multiple simulation modules are developed, including bleeding, line chattering, air bubbles noise, and more. Furthermore, wireless technology enables teachers to orchestrate the teaching process via a custom developed tablet application. It also enables both creative and standardized simulation scenario modeling via an intuitive interface. Currently, a high-fidelity, product-level prototype is in the final stages of development (Figure 1). In a questionnaire-based study conducted in 2017 at HMC, nineteen specialists classified the efficiency of the simulator as highly realistic during an interactive demonstration. A second study is planned to be performed to assess the educational effectiveness of the simulator as a complete ECMO simulation toolbox that meets strict budget constraints and yet satisfies high pedagogical standards. Acknowledgements This paper was supported by Qatar University Internal Grant No. M-CTPCENG-2020-1. The findings achieved herein are solely the responsibility of the authors.