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KMID : 1100620190060040356
Clinical and Experimental Emergency Medicine
2019 Volume.6 No. 4 p.356 ~ p.361
Use of smart glasses for ultrasound-guided peripheral venous access: a randomized controlled pilot study
Lim Hyun-Mook

Kim Min-Joung
Park Joon-Min
Kim Kyung-Hwan
Park Jun-Seok
Shin Dong-Wun
Kim Hoon
Jeon Woo-Chan
Kim Hyun-Jong
Kim Jung-Eon
Abstract
Objective: Smart glasses can provide sonographers with real-time ultrasound images. In the present study, we aimed to evaluate the utility of smart-glasses for ultrasound-guided peripheral venous access.

Methods: In this randomized, crossover-design, simulation study, 12 participants were recruited from the emergency department residents at a university hospital. Each participant attempted ultrasound-guided peripheral venous access on a pediatric phantom at intervals of 5 days with (glasses group) or without (non-glasses group) the use of smart glasses. In the glasses group, participants confirmed the ultrasound image through the lens of the smart glasses. In the non-glasses group, participants confirmed the ultrasound image through the display viewer located next to the phantom. Procedure time was regarded as the primary outcome, while secondary outcomes included the number of head movements for the participant, number of skin punctures, number of needle redirections, and subjective difficulty.

Results: No significant differences in procedural time were observed between the groups (non-glasses group: median time, 15.5 seconds; interquartile range [IQR], 10.3 to 27.3 seconds; glasses group: median time, 19.0 seconds; IQR, 14.3 to 39.3 seconds; P=0.58). The number of head movements was lower in the glasses group than in the non-glasses group (glasses group: median, 0; IQR, 0 to 0; non-glasses group: median, 4; IQR, 3 to 5; P<0.01). No significant differences in the number of skin punctures or needle restrictions were observed between the groups.

Conclusion: Our results indicate that smart-glasses may aid in ensuring ultrasound-guided peripheral venous access by reducing head movements.
KEYWORD
Wearable electronic devices, Ultrasonography, Wireless technology
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