Pediatric anesthesia & critical care
Effectiveness of head-mounted ultrasound display for radial arterial catheterisation in paediatric patients by anaesthesiology trainees: A randomised clinical trial
Primary result · First-attempt success rateResult — go to the resultOR for first-attempt success 3.49 95% CI 1.27–9.6Authors' conclusion
Smart glasses-assisted ultrasound guided radial artery catheterisation improved the first attempt success rate among anaesthesiology trainees, reducing the number of attempts and overall complication rates in small paediatric patients.
Study context
- Population
- Paediatric patients (age <7 years, weight ≥3 kg) requiring radial artery cannulation during GA, tertiary university hospital, September 2021 to February 2023119 analysed
- Participants
- 122 patients
- Comparison
- Smart glasses vs Control
- Smart glassesn = 59
- Controln = 60reference
- Primary endpoint
- First-attempt success rate
Methodological detailsprospective, single-centre
- Prospective
- Single-centre
Primary result
As reported in the abstract
OR for first-attempt success
3.49
95% CI 1.27–9.6
P = 0.023
Events by treatment group
Secondary outcomes
Use of transfixion technique
P = 0.002
First-attempt success, paediatric anaesthesiology fellows (CA 5 years) (subgroup)
P = 0.619
Second-attempt success, paediatric anaesthesiology fellows (CA 5 years) (subgroup)
P = 0.163
| Outcome | Smart glasses | Control | P value |
|---|---|---|---|
| Number of attemptsLower in smart glasses group · median | 1 (IQR 1–1) | 1 (IQR 1–2) | P = 0.006 |
| Range | 1-3 | 1-4 |
Safety
Overall complication rate
P = 0.002
Original publication
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