Video-based reflection on neonatal interventions during COVID-19 using eye-tracking glasses: an observational study

Arch Dis Child Fetal Neonatal Ed. 2022 Mar;107(2):156-160. doi: 10.1136/archdischild-2021-321806. Epub 2021 Aug 19.

Abstract

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.

Keywords: COVID-19; neonatology; technology.

Publication types

  • Observational Study

MeSH terms

  • COVID-19 / epidemiology*
  • Eye-Tracking Technology*
  • Gestational Age
  • Humans
  • Infant, Newborn
  • Infant, Premature
  • Intensive Care Units, Neonatal*
  • Internship and Residency / methods*
  • Intubation / methods
  • Pandemics
  • Prospective Studies
  • Pulmonary Surfactants / administration & dosage
  • SARS-CoV-2
  • Video Recording*

Substances

  • Pulmonary Surfactants