Evidence map›Paper›PMID 29903721›Full record

Observational studyArchives of disease in childhood. Fetal and neonatal edition2019

Visual attention on a respiratory function monitor during simulated neonatal resuscitation: an eye-tracking study.

Trixie A Katz, Danielle D Weinberg, Claire E Fishman, Vinay Nadkarni, Patrice Tremoulet, Arjan B Te Pas, Aleksandra Sarcevic, Elizabeth E Foglia

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Archives of disease in childhood. Fetal and neonatal edition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
5.4field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 44 citations in OpenAlex.

  1. Trial
  2. Physicians' eye-tracking in neonatal intensive care: evaluating a mechanical ventilator panel.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2026
    Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Pediatricians' focus of sight at pain assessment during a neonatal heel puncture.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2023
    Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Provider visual attention on a respiratory function monitor during neonatal resuscitation.Archives of disease in childhood. Fetal and neonatal edition · 2020
    Article
  15. Article
  16. Observational
  17. Observational
  18. Simulation in Neonatal Resuscitation.Frontiers in pediatrics · 2020
    Review
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 2 countries.

Trixie A KatzDepartment of Neonatology, University of Amsterdam, Amsterdam, The Netherlands.
Danielle D WeinbergDivision of Neonatology, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Claire E FishmanDepartment of Pediatrics, The University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA.
Vinay NadkarniDepartment of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Patrice TremouletCenter for Injury Research and Prevention, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Arjan B Te PasDepartment of Pediatrics, Leiden University Medical Centre, Leiden, The Netherlands.
Aleksandra SarcevicInformation Science Department, College of Computing and Informatics, Drexel University, Philadelphia, Pennsylvania, USA.
Elizabeth E FogliaDivision of Neonatology, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.ORCID http://orcid.org/0000-0002-9925-5219
Children's Hospital of Philadelphia · USDrexel University · USLeiden University · NLUniversity of Amsterdam · NLUniversity of Pennsylvania · US

Funding

Optimizing Respiratory Function in Delivery Room Resuscitation: The INFLATE Study (INFant Lung Aeration during Transition Events)K23HD084727 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI FOGLIA, ELIZABETH · 2016 to 2020
$809k
NICHD NIH HHS K23 HD084727
6 · The paper itself

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.

Indexed as

AttentionClinical CompetenceDelivery RoomsEye Movement MeasurementsFeasibility StudiesFixation, OcularHumansInfant, NewbornManikinsMonitoring, PhysiologicPennsylvaniaPerinatal CarePositive-Pressure RespirationRespiratory MechanicsResuscitationneonatologyrespiratoryresuscitationtechnology

Identifiers

PMID29903721
PMCPMC6294702
OpenAlexW2808070592

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.