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Herrick HM, Weinberg DD, Cecarelli C, Fishman CE, Newman H, den Boer MC, Martherus T, Katz TA, Nadkarni V, te Pas AB, Foglia EE. Provider visual attention on a respiratory function monitor during neonatal resuscitation. Arch Dis Child Fetal Neonatal Ed 2020; 105:666-668. [PMID: 32616559 PMCID: PMC7581552 DOI: 10.1136/archdischild-2020-319291] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/01/2020] [Revised: 05/16/2020] [Accepted: 06/04/2020] [Indexed: 11/04/2022]
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.
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Affiliation(s)
- Heidi M. Herrick
- The Children’s Hospital of Philadelphia, Department of Pediatrics, Division of Neonatology, Philadelphia, PA, USA,Corresponding Author: Heidi Meredith Herrick, MD, Attending Physician, Department of Pediatrics/Division of Neonatology, The Children’s Hospital of Philadelphia, Division of Neonatology, 2nd Floor, Main Building, 3401 Civic Center Boulevard, Philadelphia, PA 19104, Tel: (267)408-6146, Fax: (215) 590-3051,
| | - Danielle D. Weinberg
- The Children’s Hospital of Philadelphia, Department of Pediatrics, Division of Neonatology, Philadelphia, PA, USA
| | | | - Claire E. Fishman
- University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA
| | - Haley Newman
- The Children’s Hospital of Philadelphia, Department of Pediatrics, Philadelphia, PA, USA
| | - Maria C. den Boer
- Leiden University Medical Center, Department of Neonatology, Leiden, Zuid-Holland, NL
| | - Tessa Martherus
- Leiden University Medical Center, Department of Neonatology, Leiden, Zuid-Holland, NL
| | - Trixie A. Katz
- Amsterdam University Medical Center, Emma Children’s Hospital, Department of Neonatology, Amsterdam, The Netherlands
| | - Vinay Nadkarni
- The Children’s Hospital of Philadelphia, Division of Anesthesiology and Critical Care Medicine, Philadelphia, PA, USA,The Children’s Hospital of Philadelphia, Center for Simulation, Advanced Education, and Innovation, Philadelphia, PA, USA
| | - Arjan B. te Pas
- Leiden University Medical Center, Department of Neonatology, Leiden, Zuid-Holland, NL
| | - Elizabeth E. Foglia
- The Children’s Hospital of Philadelphia, Department of Pediatrics, Division of Neonatology, Philadelphia, PA, USA
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