Regional anaesthesia

Use of smart glasses for ultrasound-guided central venous catheterization in adults: a randomized clinical trial

J Clin AnesthPublished prospective, single-blinded, controlled study

Main finding · Overall CVC procedural timeResult — go to the resultMedian difference (reduced in the smart glasses group) 26.0 s 95% CI [16.0-37.0]

Authors' conclusion

Smart glasses modestly improved procedural efficiency in ultrasound-guided CVC, potientially for novices, without improving success or complication rates. Larger-sample studies with more diverse operators and patients are warranted.

Study context

Population
Adult patients who underwent elective surgery requiring central venous catheterization (CVC)patients analyzed
Participants
124 patients
Exposure
Smart glasses vs conventional ultrasound-guided CVC
Outcome
Overall CVC procedural time
Methodological detailsstratified randomization according to operator qualification, randomized clinical trial
  • Stratified randomization according to operator qualification
  • Randomized clinical trial

Main finding

As reported in the abstract

Median difference (reduced in the smart glasses group)

26.0 s

95% CI [16.0-37.0]

P < 0.001

Observational data: associations, not effects.

Secondary outcomes

OutcomeEstimateP value
Ultrasound scanning timemedian difference (reduced in the smart glasses group) 3.0 sP = 0.004
Venous access timemedian difference (reduced in the smart glasses group) 2.0 sP = 0.013
Number of needle redirectionsmedian difference (reduced in the smart glasses group) 1.0P = 0.003
Number of probe repositioningsmedian difference (reduced in the smart glasses group) 0.0P = 0.005

Procedural success rate

Comparable between groups

Safety

Complication rate

Comparable between groups

Original publication

Use of smart glasses for ultrasound-guided central venous catheterization in adults: a randomized clinical trial. J Clin Anesth. Published 3 October 2026. doi:10.1016/j.jclinane.2026.112331

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