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[Randomized clinical simulation trial of a Google Glass telemedicine application to assist orotracheal intubation]
Nuria Pérez Alonso1, Manuel Pardo Ríos2, Joaquín Lasheras Velasco3
1Facultad de Enfermería y/o Máster Oficial de Enfermería de Urgencias, Emergencias y Cuidados Especiales de la Universidad Católica de Murcia (UCAM), España.
Objectives:
To assess the effect of a Google Glass telemedicine application to allow a medical expert to make corrections in simulated out-of-hospital intratracheal intubations performed by nurses.
Material And Methods:
Randomized clinical simulation trial designed by the Universidad Católica de Murcia between November 2014 and February 2015. Volunteer nurses from the emergency medicine service of Murcia, Spain, were randomized to an intervention group to simulate intubations with telemedicine assistance (n=25) or a control group that did not receive assistance (n=25). The main outcome variable was satisfactory orotracheal intubation.
Results:
We observed statistically significant between-group differences in percentages of satisfactory intubation (telemedicine group, 96%, vs control group, 72%; P=.024) and time required to intubate the trachea (mean difference, 94.3 seconds, 95% CI, 40.7-147.9 seconds; P=.001).
Conclusion:
Telemedicine assistance from an expert by way of a Google Glass application improves the success rate and completion times of nurses performing out-of-hospital intratracheal intubations in clinical simulations.
