RT Journal Article SR Electronic T1 Video-based reflection on neonatal interventions during COVID-19 using eye-tracking glasses: an observational study JF Archives of Disease in Childhood - Fetal and Neonatal Edition JO Arch Dis Child Fetal Neonatal Ed FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health SP fetalneonatal-2021-321806 DO 10.1136/archdischild-2021-321806 A1 Michael Wagner A1 Maria C den Boer A1 Sophie Jansen A1 Peter Groepel A1 Remco Visser A1 Ruben S G M Witlox A1 Vincent Bekker A1 Enrico Lopriore A1 Angelika Berger A1 Arjan B te Pas YR 2021 UL http://fn.bmj.com/content/early/2021/08/18/archdischild-2021-321806.abstract AB Objective The aim of this study was to determine the experience with, and the feasibility of, point-of-view video recordings using eye-tracking glasses for training and reviewing neonatal interventions during the COVID-19 pandemic.Design Observational prospective single-centre study.Setting Neonatal intensive care unit at the Leiden University Medical Center.Participants All local neonatal healthcare providers.Intervention There were two groups of participants: proceduralists, who wore eye-tracking glasses during procedures, and observers who later watched the procedures as part of a video-based reflection.Main outcome measures The primary outcome was the feasibility of, and the proceduralists and observers’ experience with, the point-of-view eye-tracking videos as an additional tool for bedside teaching and video-based reflection.Results We conducted 12 point-of-view recordings on 10 different patients (median gestational age of 30.9±3.5 weeks and weight of 1764 g) undergoing neonatal intubation (n=5), minimally invasive surfactant therapy (n=5) and umbilical line insertion (n=2). We conducted nine video-based observations with a total of 88 observers. The use of point-of-view recordings was perceived as feasible. Observers further reported the point-of-view recordings to be an educational benefit for them and a potentially instructional tool during COVID-19.Conclusion We proved the practicability of eye-tracking glasses for point-of-view recordings of neonatal procedures and videos for observation, educational sessions and logistics considerations, especially with the COVID-19 pandemic distancing measures reducing bedside teaching opportunities.All data relevant to the study are included in the article or uploaded as supplementary information.