Related Experiment Video
Updated: Apr 23, 2026
Application of an Amplitude-integrated EEG Monitor Cerebral Function Monitor to Neonates
Published on: September 6, 2017
What most captures the physician's interest when evaluating a multiparameter monitor in a Neonatal ICU? - A
Simone Yumi Tsuji Assunção1, Marina Carvalho de Moraes Barros1, Roberto Gonçalves de Magalhães Júnior2
1Universidade Federal de São Paulo, Escola Paulista de Medicina, Department of Pediatrics, Division of Neonatal Medicine, São Paulo, SP, Brazil.
Objective:
To assess the gaze of physicians in the Neonatal ICU setting when evaluating a multiparameter monitor to determine the presence/absence of vital sign alterations.
Methods:
Pediatricians' gaze was tracked when they evaluated a 30-second video of a multiparametric monitor on a screen. They assessed one of three scenarios: Normal, Tachycardia, or Hyperoxia. Eight areas of interest (AOI) were defined: Heart rate(HR), Electrocardiogram(ECG), SpO₂, Pulse wave(PulseW), Respiratory rate(RR), Respiration curve(Resp.C), Blood pressure(BP), and Temperature(Temp.). Gaze fixation on each AOI was analyzed in three periods:0-3, 0-5, 0-10 s. Generalized estimating equations were used to evaluate the effect of the parameters/scenarios on the participants' likelihood of gaze fixation on each AOI.
Results:
Eighty physicians (86% female; 35.3 ± 8.2 years old) were evaluated. At 0-3 s, 0-5 s, and 0-10 s, the percentage of physicians who fixed their gaze on each AOI was, respectively:HR: 93, 96, 98%; ECG: 73, 79, 89%; SpO2: 75, 94, 95%; PulseW: 86, 88, 98%; RR: 48, 80, 95%; Resp.C: 26, 49, 73%; BP: 35, 63, 98%; Temp: 31, 53, 91%. Compared with HR, the likelihood of gaze fixation was lower at 0-3 s, for ECG (Odds Ratio-OR: 0.21), SpO2 (OR: 0.24), RR (OR: 0.07), RespC (OR: 0.03), BP (OR: 0.04) and Temp (OR: 0.04); at 0-5 s, for ECG (OR: 0.14), RR (OR; 0.16), Resp.C (OR: 0.04), BP (OR: 0.07) and Temp (OR: 0.04); and at 0-10 s, only for Resp.C (OR: 0.07).
Conclusion:
In the neonatal ICU setting, when assessing the monitor, HR attracts physicians' initial attention, followed by oximetry parameters.
