ArticleResuscitation plus2026
Improving surgical team confidence for intraoperative cardiac arrest in non-standard positions (sitting beach chair and prone): a prospective in-situ simulation study with three-month follow-up.
Article in Resuscitation plus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
5 authors.
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Abstract
Background: Intraoperative cardiac arrest in non-standard positions, such as the sitting beach chair and prone positions, present unique challenges for surgical teams. Evidence on how to prepare teams for these rare events is limited. To evaluate whether a half-day, multi-station in situ simulation course was associated with changes in interprofessional surgical team members' self-reported confidence and timed repositioning performance, and to describe self-reported application of course content to real patients three months afterwards. Methods: Prospective single-centre educational intervention at an elective orthopaedic unit. Interprofessional teams rotated through seven in situ stations during a 3.5-h course. Anonymous questionnaires on confidence in managing cardiac arrest were distributed before, immediately after and three months after the course. Exploratory transfer drills (sitting to supine and prone to supine) were timed within session. Confidence scores were analysed with the Mann-Whitney Results: Sixty-three staff in five interprofessional teams participated. Questionnaire response rate was 74-92%, varied across domains. Self-reported confidence was higher at three months than before the course in all four domains (all Conclusion: A half-day, multi-station in situ simulation course at an elective surgical unit was associated with higher self-reported confidence at three months, and self-reported application of course content to real patients. Exploratory within-session transfer drills suggested improvements that are hypothesis-generating given the small number of teams. The design may be a feasible use of planned surgical downtime.
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