Journal article
Visual attention on a respiratory function monitor during simulated neonatal resuscitation: an eye-tracking study
Archives of disease in childhood. Fetal and neonatal edition, v 104(3), pp F259-F264
May 2019
PMID: 29903721
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
ObjectiveA respiratory function monitor (RFM) may improve positive pressure ventilation (PPV) technique, but many providers do not use RFM data appropriately during delivery room resuscitation. We sought to use eye-tracking technology to identify RFM parameters that neonatal providers view most commonly during simulated PPV.DesignMixed methods study. Neonatal providers performed RFM-guided PPV on a neonatal manikin while wearing eye-tracking glasses to quantify visual attention on displayed RFM parameters (ie, exhaled tidal volume, flow, leak). Participants subsequently provided qualitative feedback on the eye-tracking glasses.SettingLevel 3 academic neonatal intensive care unit.ParticipantsTwenty neonatal resuscitation providers.Main outcome measuresVisual attention: overall gaze sample percentage; total gaze duration, visit count and average visit duration for each displayed RFM parameter. Qualitative feedback: willingness to wear eye-tracking glasses during clinical resuscitation.ResultsTwenty providers participated in this study. The mean gaze sample captured wa s 93% (SD 4%). Exhaled tidal volume waveform was the RFM parameter with the highest total gaze duration (median 23%, IQR 13–51%), highest visit count (median 5.17 per 10 s, IQR 2.82–6.16) and longest visit duration (median 0.48 s, IQR 0.38–0.81 s). All participants were willing to wear the glasses during clinical resuscitation.ConclusionWearable eye-tracking technology is feasible to identify gaze fixation on the RFM display and is well accepted by providers. Neonatal providers look at exhaled tidal volume more than any other RFM parameter. Future applications of eye-tracking technology include use during clinical resuscitation.
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Details
- Title
- Visual attention on a respiratory function monitor during simulated neonatal resuscitation: an eye-tracking study
- Creators
- Trixie A Katz - Department of Neonatology, University of Amsterdam, Amsterdam, The NetherlandsDanielle D Weinberg - Division of Neonatology, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania, USAClaire E Fishman - Department of Pediatrics, The University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USAVinay Nadkarni - Department of Anesthesiology and Critical Care Medicine, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania, USAPatrice Tremoulet - Department of Psychology, Rowan University, Glassboro, New Jersey, USAArjan B te Pas - Department of Pediatrics, Leiden University Medical Centre, Leiden, The NetherlandsAleksandra Sarcevic - Information Science Department, College of Computing and Informatics, Drexel University, Philadelphia, Pennsylvania, USAElizabeth E Foglia - Department of Pediatrics, The University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA
- Publication Details
- Archives of disease in childhood. Fetal and neonatal edition, v 104(3), pp F259-F264
- Publisher
- British Medical Journal (BMJ)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Information Science
- Web of Science ID
- WOS:000471815900007
- Scopus ID
- 2-s2.0-85057067746
- Other Identifier
- 991014877901504721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Pediatrics