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.
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Contributors HH, DW, CC, CF, HN, MCdB, TM, TAK, VN, ABtP and EEF all contributed to study design, data collection, data analysis and manuscript revision. HH and DW drafted the manuscript.
Funding This project was supported by the Zoll Foundation (awarded to EEF). HMH is supported by a National Institutes of Child Health and Human Development (NICHD) Training Grant (T32HD060550-09). EEF is supported by a NICHD Career Development Award (K23HD084727).
Competing interests None declared.
Patient consent for publication Not required.
Ethics approval Local institutional review boards approved this study at both study sites, and consent was obtained from study participants.
Provenance and peer review Not commissioned; externally peer reviewed.
Data availability statement All data relevant to the study are included in the article or uploaded as supplementary information.
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