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Provider visual attention on a respiratory function monitor during neonatal resuscitation.
Arch Dis Child Fetal Neonatal Ed. 2020 Jul 02 [Online ahead of print]AD

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.

Authors+Show Affiliations

Department of Pediatrics, Division of Neonatology, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA herrickh@email.chop.edu.Department of Pediatrics, Division of Neonatology, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA.University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.Neonatology, Leiden University Medical Center, Leiden, Zuid-Holland, The Netherlands.Neonatology, Leiden University Medical Center, Leiden, Zuid-Holland, The Netherlands.Neonatology, Amsterdam University Medical Centres, Amsterdam, The Netherlands. Neonatology, Emma Children's Hospital AMC, Amsterdam, The Netherlands.Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA. Center for Simulation, Advanced Education, and Innovation, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.Neonatology, Leiden University Medical Center, Leiden, Zuid-Holland, The Netherlands.Department of Pediatrics, Division of Neonatology, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32616559

Citation

Herrick, Heidi, et al. "Provider Visual Attention On a Respiratory Function Monitor During Neonatal Resuscitation." Archives of Disease in Childhood. Fetal and Neonatal Edition, 2020.
Herrick H, Weinberg D, Cecarelli C, et al. Provider visual attention on a respiratory function monitor during neonatal resuscitation. Arch Dis Child Fetal Neonatal Ed. 2020.
Herrick, H., Weinberg, D., Cecarelli, C., Fishman, C. E., Newman, H., den Boer, M. C., Martherus, T., Katz, T. A., Nadkarni, V., Te Pas, A. B., & Foglia, E. E. (2020). Provider visual attention on a respiratory function monitor during neonatal resuscitation. Archives of Disease in Childhood. Fetal and Neonatal Edition. https://doi.org/10.1136/archdischild-2020-319291
Herrick H, et al. Provider Visual Attention On a Respiratory Function Monitor During Neonatal Resuscitation. Arch Dis Child Fetal Neonatal Ed. 2020 Jul 2; PubMed PMID: 32616559.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Provider visual attention on a respiratory function monitor during neonatal resuscitation. AU - Herrick,Heidi, AU - Weinberg,Danielle, AU - Cecarelli,Charlotte, AU - Fishman,Claire E, AU - Newman,Haley, AU - den Boer,Maria C, AU - Martherus,Tessa, AU - Katz,Trixie A, AU - Nadkarni,Vinay, AU - Te Pas,Arjan B, AU - Foglia,Elizabeth E, Y1 - 2020/07/02/ PY - 2020/04/01/received PY - 2020/05/16/revised PY - 2020/06/04/accepted PY - 2020/7/4/entrez PY - 2020/7/4/pubmed PY - 2020/7/4/medline KW - neonatology KW - resuscitation JF - Archives of disease in childhood. Fetal and neonatal edition JO - Arch. Dis. Child. Fetal Neonatal Ed. N2 - 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. SN - 1468-2052 UR - https://www.unboundmedicine.com/medline/citation/32616559/Provider_visual_attention_on_a_respiratory_function_monitor_during_neonatal_resuscitation L2 - http://fn.bmj.com/cgi/pmidlookup?view=long&amp;pmid=32616559 DB - PRIME DP - Unbound Medicine ER -
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