Evidence map›Paper›PMID 41286419›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2026

Using simulation to prepare multidisciplinary teams and clinical environments for complex fetal interventions and resuscitation.

Louis P Halamek, Yair J Blumenfeld, Karthik Balikrishnan, Karl Sylvester, Rodrigo B Galindo, Alexis S Davis, Nicole K Yamada, Susan R Hintz

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In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Louis P HalamekDivision of Neonatology, Department of Pediatrics, School of Medicine, Stanford University, Stanford, CA, USA. halamek@stanford.edu.ORCID http://orcid.org/0000-0003-3601-8168
Yair J BlumenfeldDivision of Maternal-Fetal Medicine and Obstetrics, Department of Obstetrics & Gynecology, School of Medicine, Stanford University, Stanford, CA, USA.
Karthik BalikrishnanDepartment of Otolaryngology - Head and Neck Surgery, School of Medicine, Stanford University, Stanford, CA, USA.
Karl SylvesterDivision of Pediatric Surgery, Department of Surgery, School of Medicine, Stanford University, Stanford, CA, USA.
Rodrigo B GalindoCenter for Advanced Pediatric and Perinatal Education, Johnson Center for Pregnancy and Newborn Services, Lucile Packard Children's Hospital Stanford, Stanford, CA, USA.ORCID http://orcid.org/0009-0001-0556-9808
Alexis S DavisDivision of Neonatology, Department of Pediatrics, School of Medicine, Stanford University, Stanford, CA, USA.ORCID http://orcid.org/0000-0002-7862-8661
Nicole K YamadaDivision of Neonatology, Department of Pediatrics, School of Medicine, Stanford University, Stanford, CA, USA.ORCID http://orcid.org/0000-0001-6800-8306
Susan R HintzDivision of Neonatology, Department of Pediatrics, School of Medicine, Stanford University, Stanford, CA, USA.ORCID http://orcid.org/0000-0001-7023-4433

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIdentify overt and latent weaknesses in preliminary plans for initiating a Fetoscopic Endoluminal Tracheal Occlusion program. STUDY

designClinical scenarios involving placement and removal of a fetal tracheal occlusion device for fetuses with severe congenital diaphragmatic hernia were simulated. All sessions took place in the actual hospital environments and were captured on video for later playback, transcription and analysis.

resultsSimulation-based investigation produced: • a list of plausible scenarios • lists of equipment required • diagrams of room setup and positioning of personnel • decision trees for each scenario • situation awareness issues • workflow issues • areas requiring additional planning.

conclusionsUsing appropriate patient simulators and task trainers, teams experienced multiple realistic scenarios that facilitated the development of equipment lists, room setup diagrams, and tactics to remediate identified weaknesses. Simulation is a useful strategy to prepare for the implementation of new, high-risk clinical programs.

Indexed as

Balloon OcclusionFetoscopyHernias, Diaphragmatic, CongenitalPatient Care TeamResuscitationSimulation TrainingFemaleHumansPregnancy

Identifiers

PMID41286419

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.