Opening Summary
PerfWeb 109 – Day 1 examines the practical application of virtual reality (VR), augmented reality (AR), and the Anamotage Table in modern perfusion training. This session addresses the need for repeatable, high-fidelity simulation in an era of reduced case volume and increasing circuit complexity, offering perfusionists and ECMO specialists actionable tools to maintain and document clinical competence.
Learning Objectives
Differentiate between virtual reality and augmented reality systems currently used in perfusion simulation
Identify perfusion-specific scenarios that benefit most from immersive technology training
Operate basic VR/AR interfaces to manage simulated cardiopulmonary bypass and ECMO emergencies
Use the Anamotage Table to visualize cannulation geometry, flow dynamics, and recirculation in real time
Evaluate performance metrics generated by VR/AR platforms for objective competency assessment
Develop a roadmap for incorporating VR/AR and Anamotage technology into institutional perfusion education programs
Content Overview
The session begins with a concise review of limitations in traditional perfusion training methods and how immersive technologies overcome those barriers. Ed Delany details the technical specifications and clinical validation of leading VR/AR platforms already in use for extracorporeal simulation.
Live demonstrations follow, showcasing full cardiopulmonary bypass management, rapid priming sequences, massive air embolism protocols, oxygenator failure, and VA-ECMO weaning in fully immersive environments with haptic feedback.
A focused segment highlights the Anamotage Table—an interactive 3D projection system that overlays real-time hemodynamic data, circuit pressures, and flow vectors onto patient-specific anatomy. Attendees see direct applications for pre-case planning, troubleshooting recirculation, and teaching differential hypoxia.
The program closes with pragmatic implementation guidance: minimum hardware requirements, scenario development workflow, faculty training, integration with annual competency checklists, and cost-effective options for small and large programs alike.
Key Topics and Highlights
Current VR/AR platforms validated for perfusion and ECMO simulation
Haptic-enabled virtual circuit manipulation
Simulation of low-frequency, high-risk events (air embolism, protamine reaction, oxygenator thrombosis
Anamotage Table 3D anatomic projection and real-time data overlay
Cannula positioning and recirculation assessment in VA-ECMO
Differential hypoxia visualization during veno-arterial support
Automated performance scoring and debriefing tools in VR environments
Scenario authoring for institution-specific protocols
Comparison of VR/AR versus water-drill and mannequin-based training
Regulatory and competency documentation advantages of immersive simulation
Budget-conscious implementation pathways for perfusion departments
Audience Sections
For Perfusionists and ECMO Specialists
This session equips experienced perfusionists with immediately usable knowledge of next-generation training tools. Participants gain confidence in adopting VR/AR and the Anamotage Table to sustain technical skills, prepare for rare events, and meet objective competency requirements despite variable clinical volume.
For ICU and CVICU Nurses, APPs, and Allied Staff
Bedside team members learn how perfusion departments are using advanced simulation to improve readiness. Understanding these platforms enhances interdisciplinary communication during actual emergencies and clarifies perfusion decision-making in complex extracorporeal cases.
Closing Paragraph
PerfWeb 109 – Day 1 delivers a focused, evidence-aware examination of VR, AR, and the Anamotage Table as mature, clinically relevant training solutions. Perfusionists and ECMO specialists acquire practical strategies to implement or expand immersive simulation at their centers, directly supporting safer patient care through better-trained extracorporeal teams.
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Joseph has been a practicing clinical perfusionist for 40 years. Joseph is the CEO of Houston Extracorporeal Technologies and is the program director of The New Orleans Conference