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. 2020 Nov;105(6):666-668.
doi: 10.1136/archdischild-2020-319291. Epub 2020 Jul 2.

Provider visual attention on a respiratory function monitor during neonatal resuscitation

Heidi Herrick  1 , Danielle Weinberg  2 , Charlotte Cecarelli  3 , Claire E Fishman  4 , Haley Newman  5 , Maria C den Boer  6 , Tessa Martherus  6 , Trixie A Katz  7   8 , Vinay Nadkarni  9   10 , Arjan B Te Pas  6 , Elizabeth E Foglia  2
Affiliations

Provider visual attention on a respiratory function monitor during neonatal resuscitation

Heidi Herrick et al. Arch Dis Child Fetal Neonatal Ed. 2020 Nov.

Abstract

Background: A respiratory function monitor (RFM) provides real-time positive pressure ventilation feedback. Whether providers use RFM during neonatal resuscitation is unknown.

Methods: Ancillary study to the MONITOR(NCT03256578) randomised controlled trial. Neonatal resuscitation leaders at two centres wore eye-tracking glasses, and visual attention (VA) patterns were compared between RFM-visible and RFM-masked groups.

Results: 14 resuscitations (6 RFM-visible, 8 RFM-masked) were analysed. The median total gaze duration on the RFM was significantly higher with a visible RFM (29% vs 1%, p<0.01), while median total gaze duration on other physical objects was significantly lower with a visible RFM (3% vs 8%, p=0.02). Median total gaze duration on the infant was lower with RFM visible, although not statistically significantly (29% vs 46%, p=0.05).

Conclusion: Providers' VA patterns differed during neonatal resuscitation when the RFM was visible, emphasising the importance of studying the impact of additional delivery room technology on providers' behaviour.

Keywords: neonatology; resuscitation.

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Conflict of interest statement

Competing interests: None declared.

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