Initial Experience of Using First-Person Wearable Video Recording Technology During Central Venous Catheter Placement in the Cardiac Operating Room

Enrique Vergara-Escudero, Alexander Gherciuc, David Buyck, Aya Eid, Susana Arango, Stephen M Richardson, Tjörvi E. Perry

Research output: Contribution to journalReview articlepeer-review

Abstract

Objective: The aim of this study was to use wearable video-recording technology to measure precisely the timing of discrete events during perioperative central venous catheter (CVC) placements. Design: A single-center, observational, exploratory study on the use of wearable video-recording technology during intraoperative CVC placement. Setting: The study was conducted at a University Hospital. Participants: Clinical anesthesia residents, cardiothoracic anesthesia fellows, and attending anesthesiologists participated in this study. Interventions: Participants were asked to use eye-tracking glasses prior to the placement of a CVC in the cardiac operating rooms. No other instruction was given to the participants. Measurements and Main Results: The authors measured the total time to complete the CVC placement, phase-specific time, and specific times of interest. They compared these times across 3 training levels and tested differences with analysis of variance. The authors’ findings indicated significant differences in total CVC placement time when the procedure included a pulmonary artery catheter insertion (1,170 ± 364, 923 ± 272, and 596 ± 226 seconds; F2,63 = 12.71, p < 0.0001). Additionally, they found differences in interval times and times of interest. The authors observed a reduction of variability with increasing experience during the CVC placement phase. Conclusions: In this observational study, the study authors describe their experience using first-person wearable video-recording technology to precisely measure the timing of discrete events during CVC placement by anesthesia residents and anesthesiologists. Future work will leverage the eye-tracking capabilities of the existing hardware to identify areas of inefficiency to develop actionable targets for interventions that could improve trainee performance and patient safety.

Original languageEnglish (US)
Pages (from-to)1409-1416
Number of pages8
JournalJournal of Cardiothoracic and Vascular Anesthesia
Volume38
Issue number6
DOIs
StatePublished - Jun 2024

Bibliographical note

Publisher Copyright:
© 2024 Elsevier Inc.

PubMed: MeSH publication types

  • Journal Article
  • Observational Study
  • Review

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