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Analysis of neonatal resuscitation using eye tracking: a pilot study
  1. Brenda Hiu Yan Law1,2,
  2. Po-Yin Cheung1,2,
  3. Michael Wagner1,3,
  4. Sylvia van Os1,
  5. Bin Zheng4,
  6. Georg Schmölzer1,2
  1. 1Centre for the Studies of Asphyxia and Resuscitation, Royal Alexandra Hospital, Edmonton, Canada
  2. 2Department of Pediatrics, University of Alberta, Edmonton, Canada
  3. 3Department of Pediatrics, Medical University of Vienna, Vienna, Austria
  4. 4Department of Surgery, University of Alberta, Edmonton, Canada
  1. Correspondence to Dr Brenda Hiu Yan Law, Centre for the Studies of Asphyxia and Resuscitation, Neonatal Research Unit, Royal Alexandra Hospital, 10240 Kingsway Avenue NW, T5H 3V9, Edmonton, Alberta, Canada; blaw2{at}


Background Visual attention (VA) is important for situation awareness and decision-making. Eye tracking can be used to analyse the VA of healthcare providers. No study has examined eye tracking during neonatal resuscitation.

Objective To test the use of eye tracking to examine VA during neonatal resuscitation.

Methods Six video recordings were obtained using eye tracking glasses worn by resuscitators during the first 5 min of neonatal resuscitation. Videos were analysed to obtain (i) areas of interest (AOIs), (ii) time spent on each AOI and (iii) frequency of saccades between AOIs.

Results Five videos were of acceptable quality and analysed. Only 35% of VA was directed at the infant, with 33% at patient monitors and gauges. There were frequent saccades (0.45/s) and most involved patient monitors.

Conclusion During neonatal resuscitation, VA is often directed away from the infant towards patient monitors. Eye tracking can be used to analyse human performance during neonatal resuscitation.

  • newborn
  • delivery room
  • neonatal resuscitation
  • visual attention

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  • Contributors GS, BHYL: Conception and design. GS, SvO, BHYL, P-YC, BZ, MW: Collection and assembly of data; analysis and interpretation of the data; drafting of the article; critical revision of the article for important intellectual content; final approval of the article.

  • Funding We thank the public for donation to our funding agencies. BHYL is a recipient of the Stollery Hospital Foundation Research Fellowship. GS is a recipient of the Heart and Stroke Foundation/University of Alberta Professorship of Neonatal Resuscitation and a Heart and Stroke Foundation Canada and a Heart and Stroke Foundation Alberta New Investigator Award. The authors have no financial relationships relevant to this article to disclose. No current funding source for this study. The funding agencies had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

  • Competing interests None declared.

  • Ethics approval Human research ethics board, University of Alberta.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data sharing statement Abstracted and anonymised eye tracking data are available upon request.

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