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Journal article · Review and clinical discussion

CALS and simulation in cardiac surgery: review

Original title (Spanish): Implementación de CALS y entrenamiento basado en simulación en el paciente postoperado de cirugía cardíaca: experiencia, evidencia y retos

Rafael Eduardo Herrera-Elizalde · Pablo de Jesús Núñez-Trejo · María del Carmen Molina-Torres

Revista Mexicana de Anestesiología. 2025;48(3):193–196. DOI: 10.35366/120428.

What does this publication address?

Reviews the response to cardiac arrest after cardiac surgery, the particularities of CALS/CSU-ALS, and the role of simulation training. Places team preparation and identifying reversible causes within a multidisciplinary response.

What is its contribution?

Relates technical training to communication, situational awareness, and institutional organization. Discusses challenges in implementing and sustaining training for teams caring for patients after cardiac surgery.

Scope and critical reading

It is a clinical review, not an efficacy trial of a REASEL course. The associations between center certification and outcomes cited do not by themselves prove causality nor guarantee individual results.