Medicina intensiva · 2026
Exploring the potential role of augmented-reality smart glasses in the management of the difficult airway. The SMART-INTUBATION study.
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Rodriguez-Ruiz Emilio, Aranda-García Silvia, García-Fernández Rita, Espinosa-Pereiro Carmen Elisa, Campelo-Izquierdo Maitane, Fernández-Rodríguez Jorge, Prada-Hervella Gloria, Estany-Gestal Ana, Rodríguez-Vargas Miguel A, Rodríguez-Núñez Antonio
Аннотация
OBJECTIVE: To evaluate the potential role of augmented-reality smart glasses (A-SGs) for the assistance of residents in airway management.
DESIGN: Observer-blinded, parallel-group, randomised trial.
SETTING: An integrated clinical simulation centre.
PARTICIPANTS: Residents involved in critically ill patient care.
INTERVENTIONS: Each participant performed a baseline endotracheal intubation (ETI) trial and a follow-up ETI trial (M1). Before M1 participants were randomly assigned either to the control group (unguided) or to the intervention group (tele-guided with A-SGs). No support was provided to participants during the M0 or during M1 in the control group. Residents allocated to A-SGs received real-time audio and video guidance from an expert in airway management.
MAIN VARIABLES: Sociodemographic variables, the execution of each ETI step, the ETI efficacy ETI, and all procedural times.
RESULTS: The 39 residents obtained comparable results at M0. During M1, participants tele-guided with A-SGs performed the ETI in a more organised and structured way, especially when inserting the endotracheal tube (p = 0.003) and checking its proper placement (p < 0.001). Higher ETI efficacy was observed in the intervention group compared with the control (p < 0.001). Within the intervention group itself, significant improvement in intubation efficacy was observed between M0 and M1 (p < 0.001).
CONCLUSIONS: A-SGs tele-assistance while the trainee shares the airway view with a remote expert is feasible and may have a positive impact on training residents on difficult airway management.
DESIGN: Observer-blinded, parallel-group, randomised trial.
SETTING: An integrated clinical simulation centre.
PARTICIPANTS: Residents involved in critically ill patient care.
INTERVENTIONS: Each participant performed a baseline endotracheal intubation (ETI) trial and a follow-up ETI trial (M1). Before M1 participants were randomly assigned either to the control group (unguided) or to the intervention group (tele-guided with A-SGs). No support was provided to participants during the M0 or during M1 in the control group. Residents allocated to A-SGs received real-time audio and video guidance from an expert in airway management.
MAIN VARIABLES: Sociodemographic variables, the execution of each ETI step, the ETI efficacy ETI, and all procedural times.
RESULTS: The 39 residents obtained comparable results at M0. During M1, participants tele-guided with A-SGs performed the ETI in a more organised and structured way, especially when inserting the endotracheal tube (p = 0.003) and checking its proper placement (p < 0.001). Higher ETI efficacy was observed in the intervention group compared with the control (p < 0.001). Within the intervention group itself, significant improvement in intubation efficacy was observed between M0 and M1 (p < 0.001).
CONCLUSIONS: A-SGs tele-assistance while the trainee shares the airway view with a remote expert is feasible and may have a positive impact on training residents on difficult airway management.