Evidence map›Paper›PMID 38856000›Full record

Observational studyThe journal of vascular access2025

Where do ICU trainees really look? An eye-tracking analysis of gaze patterns during central venous catheter insertion.

Philipp K Buehler, Pedro David Wendel-Garcia, Mattia Müller, Marc T Schmidt, Reto A Schuepbach, Quentin Lohmeyer, Daniel A Hofmaenner

Abstract readObservational StudyComparative Study
In one paragraph

Observational study in The journal of vascular access, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Philipp K BuehlerInstitute of Intensive Care Medicine, University Hospital Zurich, Zurich, Switzerland.
Pedro David Wendel-GarciaInstitute of Intensive Care Medicine, University Hospital Zurich, Zurich, Switzerland.
Mattia MüllerInstitute of Intensive Care Medicine, University Hospital Zurich, Zurich, Switzerland.
Marc T SchmidtInstitute of Intensive Care Medicine, University Hospital Zurich, Zurich, Switzerland.ORCID 0000-0003-0745-2109
Reto A SchuepbachInstitute of Intensive Care Medicine, University Hospital Zurich, Zurich, Switzerland.
Quentin LohmeyerDepartment of Mechanical and Process Engineering, ETH Zurich, Zurich, Switzerland.
Daniel A HofmaennerInstitute of Intensive Care Medicine, University Hospital Zurich, Zurich, Switzerland.ORCID 0000-0002-9334-7753

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is limited knowledge about gaze patterns of intensive care unit (ICU) trainee doctors during the insertion of a central venous catheter (CVC). The primary objective of this study was to examine visual patterns exhibited by ICU trainee doctors during CVC insertion. Additionally, the study investigated whether differences in gaze patterns could be identified between more and less experienced trainee doctors.

methodsIn a real-life, prospective observational study conducted at the interdisciplinary ICU at the University Hospital Zurich, Switzerland, ICU trainee doctors underwent eye-tracking during CVC insertion in a real ICU patient. Using mixed-effects model analyses, the primary outcomes were dwell time, first fixation duration, revisits, fixation count, and average fixation time on different areas of interest (AOI). Secondary outcomes were above eye-tracking outcome measures stratified according to experience level of participants.

resultsEighteen participants were included, of whom 10 were inexperienced and eight more experienced. Dwell time was highest for CVC preparation table (

conclusionsVarious AOIs have distinct significance for ICU trainee doctors during CVC insertion. Experienced participants exhibited different gaze behavior, requiring less attention for preparation and handling tasks, emphasizing the importance of hand-eye coordination.

Indexed as

Catheterization, Central VenousEducation, Medical, GraduateEye-Tracking TechnologyFixation, OcularIntensive Care UnitsAdultCentral Venous CathetersClinical CompetenceFemaleHumansMaleMiddle AgedProspective StudiesSwitzerlandTime Factorscentral venous catheterscognitionEye-tracking technologyintensive care unitspatient safety

Identifiers

PMID38856000
PMCPMC12117137

What OpenQuestion holds

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Registered trials

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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.