Eye-tracking during simulation-based neonatal airway management



Eye-tracking devices help to understand provider behavior during medical tasks. The aim of this study was to assess participants’ gaze behavior and usability of eye-tracking glasses during airway management in a simulated neonatal resuscitation.


This study was an observational simulation-based study. The team member assigned to airway management wore head-mounted eye-tracking glasses. Main outcome measures were airway providers’ gaze, dwell time (total amount of time a participant fixates certain areas of interest), and usability of eye-tracking glasses.


Data from 13 participants were included. There were significant differences in dwell time during the scenario (p < 0.001), with participants spending twice as much time on the newborn and instruments as on the monitor and other staff. Participants spent about 25% more time focusing on another provider while the provider was inserting the umbilical vein catheter than in all other times of interest (intervals of time with meaningful events) (p = 0.04). The use of the glasses was perceived easy and not disturbing.


Eye-tracking glasses enhance our understanding of providers’ gaze and perspective during simulated neonatal airway management. Future studies will better characterize the ideal use in real situations.

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We acknowledge the Yale Center for Medical Simulation and Yale Department of Emergency Medicine administrative and technical staff for their contributions to this project, including Jeffrey Hoffman and Luis Cruz.

Author contributions

All authors conceptualized the study and drafted the initial manuscript. The data were analyzed by P.G., I.T.G., K.B., and M.W. The manuscript was drafted and critically reviewed and revised by all authors; all authors approved the final manuscript as submitted.

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Correspondence to Michael Wagner.

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Wagner, M., Gröpel, P., Bibl, K. et al. Eye-tracking during simulation-based neonatal airway management. Pediatr Res 87, 518–522 (2020). https://doi.org/10.1038/s41390-019-0571-9

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