Lennert Minten, Johan Bennett, Hisao Otsuki, Kuniaki Takahashi, William F Fearon, Christophe Dubois
Differential Effect of Aortic Valve Replacement for Severe Aortic Stenosis on Hyperemic and Resting Epicardial Coronary Pressure Indices
Journal of the American Heart Association
extracorporeal membrane oxygenation ecmo emergencies require skilled clinical specialist cs manage ecmo circuits tools assessing cs skills published significant variation protocols circuit design study aims develop checklists produce generalizable ecmo skill assessment adequate validity evidence support use summative evaluation tool initial survey determined variation ecmo circuit components configurations original checklists simulations altered modified delphi process finalized checklist simulation assessed validity reliability three trained raters assessed ten simulations five subjects two different institutions using two circuit designs data analysis conducted using fully crossed subject x rater x circuit generalizability g decision study gstudy coefficient 0 0 variance across subject circuit greatest variance among raters 287 significant variance also associated subject pump type relationship 27 despite rigorous process used modify assessment generalizability poor lack familiarity centerspecific circuit design played key role future endeavors ecmo skill assessment focus either developing validating sitespecific tools standardizing circuit designs