Scope Of Tutorials

The system comes with a series of ten pre-loaded tutorials which are intended to familiarize the user with the simulation system and to explore the techniques and problems associated with the use of VV- and VA- ECMO.

The learning objectives contained in each tutorial are summarized in the following table:

Tutorial

Objectives

Getting Started

•	To become familiarized with the basic elements of the MSE simulation environment.

VV ECMO (1)

•	To understand the design of a basic veno-venous ECMO circuit.

•	To become familiarized with the basic controls of a VV ECMO system.

•	To become familiarized with the basic behaviour of a centrifugal pump.

VV ECMO (2)

•	To investigate the effect of cannula position on ECMO system performance.

•	To investigate the effect of temperature control on metabolic rate (and oxygenation).

VV ECMO (3)

•	To examine the impact of return cannula size on ECMO system performance.

VV ECMO (4)

•	To understand the impact of obstruction of the inlet or outlet line on ECMO system performance.

VA ECMO (1)

•	To understand the design of a simple veno-arterial ECMO circuit.

•	To become familiarized with the basic controls of a VA ECMO system.

•	To understand the mechanism of ‘Differential Hypoxia’.

VA ECMO (2)

•	To explore the cardiovascular effects of VA ECMO in a patient with cardiogenic shock.

VA ECMO (3)

•	To recognise the signs of oxygenator gas supply failure.

VA ECMO (4)

•	To recognise the signs of oxygenator failure.