Simulators and Simulations for Extracorporeal Membrane Oxygenation: An ECMO Scoping Review

Wytze C. Duinmeijer, Libera Fresiello, Justyna Swol, Pau Torrella, Jordi Riera, Valentina Obreja, Mateusz Puślecki, Marek Dąbrowski, Jutta Arens, Frank R. Halfwerk* (Corresponding Author)

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

8 Downloads (Pure)


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.
Original languageEnglish
Article number1765
JournalJournal of Clinical Medicine
Issue number5
Publication statusPublished - 22 Feb 2023


  • classification
  • extracorporeal life support (ECLS)
  • fidelity
  • model
  • simulation training


Dive into the research topics of 'Simulators and Simulations for Extracorporeal Membrane Oxygenation: An ECMO Scoping Review'. Together they form a unique fingerprint.

Cite this