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Table 3 Top 3 rated skills for each of three categories and the skills without consensus

From: Adult essential extracorporeal membrane oxygenation (ECMO) skills for use in an e-learning program for ICU physicians, nurses and perfusionists: a consensus by a modified Delphi questionnaire

 

Round 1

Round 2

KNOWLEDGE

Mean (SD)

Median

[IQR]

Consensus %

Mean (SD)

Median [IQR]

Consensus %

CONSENSUS

      

Round 1:

Knowledge of ECMO physiology: in VA-ECMO: Optimization of hemodynamic support

Round 2:

Knowledge of ECMO physiology: in VA-ECMO: Optimization of hemodynamic support, including blood flow and native cardiac function

4.65 (0.7)

5.0

[4.0–5.0]

96.55

4.79 (0.41)

5.0

[5.0–5.0]

100

Round 1 & 2: Knowledge of ECMO physiology: Optimization of pCO2.

4.56 (0.62)

5.0

[4.0–5.0]

89.66

4.75 (0.44)

5.0

[4.25-5.0]

100

Round 1 & 2: Knowledge of symptoms and clinical signs of limb ischemia and prevention of it.

4.73 (0.45)

5.0

[4.0–5.0]

100

4.72 (0.53)

5.0

[4.0–5.0]

96.55

NO CONSENSUS

      

Round 1: Knowledge of pre-ECMO evaluation including RESP-score and SAVE-score (RESP = Respiratory Extracorporeal membrane Oxygenation Survival Prediction, SAVE = Survival After V-A ECMO).

Round 2: For the physician, knowledge of pre-ECMO evaluation including RESP-score and SAVE-score (RESP = Respiratory Extracorporeal membrane Oxygenation Survival Prediction, SAVE = Survival After V-A ECMO).

3.80 (0.69)

4.0

[4.0–4.0]

77.1

3.95 (0.75)

4.0

[4.0–4.0]

79.3

Round 1: Knowledge of the principles of ECMO nomenclature.

Round 2: Knowledge of correct ECMO nomenclature.

4.00 (0.72)

5.0

[3.5-5.0]

74.5

3.90 (0.64)

4.0

[3.25-4.0]

71.4

 

Round 1

Round 2

TECHNICAL SKILLS

Mean (SD)

Median

[IQR]

Consensus %

Mean (SD)

Median [IQR]

Consensus %

CONSENSUS

      

Round 1: Being able to change the oxygenator

Round 2: For perfusionist: being able to change the circuit / oxygenator.

3.80 (1.22)

4.0

[3.0–5.0]

66.67

4.76 (0.44)

5.0

[4.5-5.0]

100

Round 1: Being able to prime the circuit

Round 2: For the perfusionist: being able to prime the circuit.

3.66 (1.1)

4.0

[3.0–5.0]

60.71

4.72 (0.45)

5.0

[4.0–5.0]

100

Round 1: Being able to insert / connect the cannulas correct.

Round 2: For the physician and perfusionist: being able to insert / connect the cannulas correct.

4.28 (0.93)

5.0

[4.0–5.0]

82.14

4.61 (0.69)

5.0

[4.0–5.0]

96.43

NO CONSENSUS

      

Round 1: For the physician: being able to measure the vessel diameter and perform ultrasound guided puncture in peripheral ECMO.

Round 2: For the physician: being able to measure the vessel diameter and perform ultrasound guided puncture in peripheral ECMO.

3.70 (1.08)

4.0

[3.0–5.0]

57.4

4.0 (0.97)

4.0

[3.0–5.0]

72.4

 

Round 1

Round 2

ATTITUDE

Mean (SD)

Median

[IQR]

Consensus %

Mean (SD)

Median [IQR]

Consensus %

CONSENSUS

      

Round 1 & 2: Knowledge of his/her limits and call for help if needed.

4.79 (0.46)

5.0

[5.0–5.0]

96.43

4.82 (0.35)

5.0

[5.0–5.0]

100

Round 1 & 2: There should be an experienced team available 24/24 7/7 for troubleshooting.

4.77 (0.42)

5.0

[5.0–5.0]

100

4.76 (0.51)

5.0

[5.0–5.0]

96.55

Round 1 & 2: Be able to consider the risks/ benefits for every ECMO run.

4.54 (0.54)

5.0

[4.0–5.0]

100

4.62 (0.49)

5.0

[4.0–5.0]

100

NO CONSENSUS

      

Round 1: To obtain an informed consent from the patient or family.

Round 2: The physician should obtain an informed consent from the patient or family.

3.95 (0.88)

4.0

[3.0-4.5]

63.0

3.80 (0.89)

4.0

[3.0–4.0]

63.0

Round 1 & 2: Handovers and communication should be structured and standardized e.g., using ISBAR.

4.15 (081)

4.0

[3.25-5]

73.3

3.95 (0.60)

4.0

[4.0–4.0]

75.9

Round 1: Being an ELSO-member (Extracorporeal Life Support Organization)

Round 2: The center should be registered as an ELSO-member (Extracorporeal Life Support Organization)

3.80 (0.89)

4.0

[3.0–5.0]

70.2

4.05 (0.68)

4.0

[4.0-4.75]

75.9

  1. Consensus in this study was defined by 80% of experts that rates a skill with a score of 4 or more