Pediatric anesthesia & critical care

Effectiveness of head-mounted ultrasound display for radial arterial catheterisation in paediatric patients by anaesthesiology trainees: A randomised clinical trial

Eur J AnaesthesiolPublished Randomised controlled trial

Primary result · First-attempt success rateResult — go to the resultOR for first-attempt success 3.49 95% CI 1.27–9.6

Authors' 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

Smart glasses vs Control
OR for first-attempt success 3.49 (95% CI 1.27–9.6); P = 0.023

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

OutcomeSmart glassesControlP value
Number of attemptsLower in smart glasses group · median1 (IQR 1–1)1 (IQR 1–2)P = 0.006
Range1-31-4

Safety

Overall complication rate

P = 0.002

Original publication

Effectiveness of head-mounted ultrasound display for radial arterial catheterisation in paediatric patients by anaesthesiology trainees: A randomised clinical trial. Eur J Anaesthesiol. Published 21 March 2024. doi:10.1097/eja.0000000000001985

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