12: Results of ECMO training for pediatric ICU staff: a report from China National Children Center

Abstract

Objective: To evaluate the effectiveness of ECMO theory and simulation training organized by Shanghai Children’s Medical Center for pediatric intensive care staff in China. Method: From April 2020 to May 2023, 167 medical staff from 32 hospitals across the country participated in our training, including 66 doctors, 95 nurses and 6 perfusionists. The traning includes pre-test, theoretical study, simulation practice, post-test and follow up. The difference between the pre- and post- tests was compared. Results: The median score in pre-test was 50 points (interquartile interval: 42~65 points), and the median score post-test was 80 points (interquartile interval: 73~86 points) (P<0.001). Before our training course, 62 participants (47%) had no ECMO experience, 51 participants (39%) had less than 10 ECMO cases experience, and 18 participants (14%) had more than 10 ECMO cases experience. The pre-test scores of the three groups with different ECMO experience showed no statistical difference (51±13 points, 55±17 points, 59±15 points, respectively; P=0.076). After the training, the post-test scores of the three groups were significantly improved (all P<0.001), and there was no statistical difference among the three groups (81±11 points, 78±10 points, 80±12 points; P=0.534). Conclusions: Pediatric ECMO theory and simulation training courses can significantly improve the ECMO knowledge and management skill at different levels to achieve the purpose of homogenization.

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