Augmented Reality–Assisted Video Laryngoscopy and Simulated Neonatal Intubations: A Pilot Study

BACKGROUND: For novice providers, achieving competency in neonatal intubation is becoming increasingly difficult, possibly because of fewer opportunities. In the present study, we compared outcomes on manikins using direct laryngoscopy (DL), indirect video (IVL) a modified disposable blade, and augmented reality–assisted (ARVL), novel technique smart glasses to project magnified airway into intubator’s visual field. METHODS: Neonatal intensive care nurses (n = 45) with minimal simulated experience were randomly assigned 15) following 3 groups: DL, IVL, ARVL. All participants completed 5 attempts manikin their modalities received verbal coaching by supervisor, who viewed while assisting IVL ARVL groups. The outcome time each attempt recorded. RESULTS: DL group successfully intubated 32% 72% 71% (P < .001). esophagus 27% attempts, whereas there no esophageal intubations either or groups median (interquartile range) intubate was 35.6 (22.9–58.0) seconds, 21.6 (13.9–31.9) seconds 20.7 (13.2–36.5) CONCLUSIONS: Simulated success significantly improved DL. Future prospective studies are needed explore potential benefits this technology when used real patients.