The knowledge of medical students about Extracorporeal Membrane Oxygenation (ECMO) in patients with COVID-19
DOI:
https://doi.org/10.33448/rsd-v10i15.22439Keywords:
ECMO; Extracorporeal membrane oxygenation; COVID-19; Teaching; Lecture.Abstract
Objectives: To assess the knowledge of medical students on ECMO and to offer a cycle of lectures about its main particularities and application in the current COVID-19 pandemic. Methods: This is an prospective research with application of a questionnaire prepared by the authors before and after a cycle of lectures on ECMO and its use in patients with COVID-19. The responses of academics were compared before and after the cycle of lectures offered by the authors. Results: Calculating the average point of the sum of points obtained in the questionnaire before and after the lecture cycle, it is observed that without the lecture cycle the average point of correct answers was 10.83, whereas after the lecture cycle it went to 14.91. The Wilcoxon test proved a statistical difference between the points obtained in the questionnaire before and after the course (p=0.039). Conclusion: The importance of inserting extracurricular themes in medical education can be seen, especially regarding current issues, such as the case of new therapeutic approaches for patients with COVID.
References
Allen, S., Holena, D., Mccunn., Kohl., Sarani, B. (2011). A review of the fundamental principles and evidence base in the use of extracorporeal membrane oxygenation (ECMO) in critically ill adult patients. Journal of Intensive Care Medicine, 26(1), 13-26
ASSOCIAÇÃO DE MEDICINA INTENSIVA BRASILEIRA (AMIB). (2020). Preparação de UTI para COVID-19: lições de experiências internacionais.
Barros, L., Rivetti, L.A., Furlanetto, B.H., Teixeira, E.M., Welikow. (2020) A. COVID-19: General guidelines for cardiovascular surgeons (standard guidelines - subject to change). Brazilian Journal of Cardiovascular Surgery, 35(2), 1-3
Beyls, C., Huette, P., Abou-Arab, O., Berna, P., Mahjoub, Y. (2020). Extracorporeal membrane oxygenation for COVID-19-associated severe acute respiratory distress syndrome and risk of thrombosis. BJA: British Journal of Anaesthesia, 125(2), 206-262.
Bussolotti, J. M.; Oliveira, M. R.; Pires, R. G.; Veiga, S. A. (2016). A importância das atividades complementares no processo de aprendizado: percepção dos alunos de cursos de educação a distância da universidade de Taubaté. Associação Brasileira de Ensino a Distância, 1-8.
Cunningham, A. C.; Goh, H. P.; Koh, D. (2020). Treatment of COVID-19: old tricks for new challenges. Critical Care, 24(1).
Fernandes, M.A.M., Barroso, F.V.C., Damicio, Leite, W.S., Cerqueira, J.B.D. (2016). Análise do impacto de uma palestra sobre litíase urinária na Faculdade de Medicina (Liga de Urologia e Transplante Renal) Revista Encontros universitários da UFC, 1(1), 1-2.
Forrest, P., Ratchford, J., Burns, B., Herkers, R., Jackson, A., Plunkett, B., … Pye, R. (2011). Retrieval of critically ill adults using extracorporeal membrane oxygenation: an Australian experience. Intensive Care Medicine, 37(5), 824–830.
Hill, J.D., O’Brien, T.G., Murray, J.J., Dontigny, L., Bramson, M.L., Osborn, J.J., Gerbode, F. (1972). Prolonged extracorporeal oxygenation for acute post-traumatic respiratory failure (shock-lung syndrome). Use of the Bramson membrane lung. The New England Journal of Medicine, 286 (12), 629–634.
Hong, X., Xiong, J., Feng, Z., Shi, Y., (2020). Extracorporeal membrane oxygenation (ECMO): does it have a role in the treatment of severe COVID-19? International Journal of Infectious Diseases, 94, 78–80
Huette, P., Byels, C., Guilbart, M., Coquet, A., Berna, P., Haye, G., … Mahjoub, Y. (2020). Extracorporeal membrane oxygenation for respiratory failure in COVID-19 patients: outcome and time-course of clinical and biological parameters. Canadian Journal of Anaesthesia, 1-3.
Kon, Z.N., Smith,D.E., Chang, S., Goldenberg, R.M., Angel, L.F., Carillo, J.A., … Galloway, A.C. (2021). Extracorporeal Membrane Oxygenation Support in Severe COVID-19. The Annals of Thoracic Surgery, 111(2), 537–543.
Latam, E. ELSO Guidance Document: ECMO for COVID-19. ELSO Latino-Americana (2020).
Marodin, G.; Goldim, J. R. (2009). Confusões e ambiguidades na classificação de eventos adversos em pesquisa clínica. Revista da Escola de Enfermagem da USP, 43, 690–696.
Patel, B. K. Insuficiência respiratória hipoxêmica aguda (IRHA, SARA). (2020). Manual MSD
Pereira, A.F.A., Conceição, D.S.R., Silva, M. C., Mota, B. C., Oliveira. P.R.S. (2017). A importância das atividades extracurriculares no desempenho acadêmico de estudantes da área de saúde. XI ENPEC, 1-11.
Ramantahan, K., Antognini, D., Combes, A., Paden, M., Zakhary, B., Ogino, M., … Shekar, K. (2020). Planning and provision of ECMO services for severe ARDS during the COVID-19 pandemic and other outbreaks of emerging infectious diseases. The Lancet Respiratory Medicine, 8(5), 518–526.
Tramm, R., Ilic, D., Davies, A.R., Pellegrino, V.A., Romero, L., Hodgson, C. (2015). Extracorporeal membrane oxygenation for critically ill adults. The Cochrane Database of Systematic Reviews, 1, CD010381
World Health Organization. (2020). Clinical management of severe acute respiratory infection when novel coronavirus (2019-nCoV) infection is suspected: interim guidance.
Yang, X., Cai, S., Luo, Y., Zhu, F., Hu, M., Zhao., … Peng, Z. (2020). Extracorporeal Membrane Oxygenation for Coronavirus Disease 2019-Induced Acute Respiratory Distress Syndrome: A Multicenter Descriptive Study. Critical Care Medicine, 48(9), 1289–1295.
Zeng, Y., Cai, Z., Zianyu, Y., Yang, B.X., Song, T., Yan, Q. (2020). Prognosis when using extracorporeal membrane oxygenation (ECMO) for critically ill COVID-19 patients in China: a retrospective case series. Critical Care, 24(1), 148.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Délcio Uezato Junior; Amanda Costa Araujo
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
