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Observational Study
. 2020 Feb;87(3):518-522.
doi: 10.1038/s41390-019-0571-9. Epub 2019 Sep 9.

Eye-tracking during simulation-based neonatal airway management

Michael Wagner  1 , Peter Gröpel  2 , Katharina Bibl  3 , Monika Olischar  3 , Marc A Auerbach  4 , Isabel T Gross  4
Affiliations
Observational Study

Eye-tracking during simulation-based neonatal airway management

Michael Wagner et al. Pediatr Res. 2020 Feb.

Abstract

Background: Eye-tracking devices help to understand provider behavior during medical tasks. The aim of this study was to assess participants' gaze behavior and usability of eye-tracking glasses during airway management in a simulated neonatal resuscitation.

Methods: This study was an observational simulation-based study. The team member assigned to airway management wore head-mounted eye-tracking glasses. Main outcome measures were airway providers' gaze, dwell time (total amount of time a participant fixates certain areas of interest), and usability of eye-tracking glasses.

Results: Data from 13 participants were included. There were significant differences in dwell time during the scenario (p < 0.001), with participants spending twice as much time on the newborn and instruments as on the monitor and other staff. Participants spent about 25% more time focusing on another provider while the provider was inserting the umbilical vein catheter than in all other times of interest (intervals of time with meaningful events) (p = 0.04). The use of the glasses was perceived easy and not disturbing.

Conclusions: Eye-tracking glasses enhance our understanding of providers' gaze and perspective during simulated neonatal airway management. Future studies will better characterize the ideal use in real situations.

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Comment in

  • Focus is in the gaze of the beholder.
    Vali P, Lakshminrusimha S. Vali P, et al. Pediatr Res. 2020 Feb;87(3):434-435. doi: 10.1038/s41390-019-0671-6. Epub 2019 Nov 9. Pediatr Res. 2020. PMID: 31706256 Free PMC article. No abstract available.

References

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