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Table 2 Comparison of trainee performance in AR-US and S-US groups for CVC placement

From: Augmented reality visualization for ultrasound-guided interventions: a pilot randomized crossover trial to assess trainee performance and cognitive load

 

AR-US, seconds

S-US, seconds

Mean difference (95% CI)

p-value

T1 (N)

Mean (SD)

Mean (SD)

  

 All (47)

22.21 (17.77)

25.11 (25.51)

-2.90 (-11.91, 6.13)

0.53

 UGY (22)

21.77 (15.94)

31.05 (34.92)

-9.28 (-26.00, 7.45)

0.27

 PGY (25)

22.60 (19.56)

19.88 (10.94)

2.72 (-6.36, 11.80)

0.55

 Male (32)

25.66 (19.89)

27.75 (29.95)

-2.09 (-14.84, 10.65)

0.74

 Female (15)

14.87 (8.75)

19.47 (10.10)

-4.60 (-11.67, 2.47)

0.19

T2 (N)

Mean (SD)

Mean (SD)

  

 All (47)

38.19 (25.54)

52.32 (59.60)

-14.13 (-33.03, 4.78)

0.14

 UGY (22)

37.59 (15.86)

46.50 (34.82)

-8.91 (-25.59, 7.77)

0.28

 PGY (25)

38.72 (32.08)

57.44 (75.42)

-18.72 (-52.09, 14.65)

0.26

 Male (32)

37.06 (20.30)

55.44 (66.74)

-18.38 (-43.37, 6.62)

0.14

 Female (15)

40.60 (34.94)

45.67 (41.70)

-5.07 (-33.88, 23.71)

0.72

TU (N)

Mean (SD)

Mean (SD)

  

 All (47)

60.40 (32.82)

77.43 (67.67)

-17.03 (-38.92, 4.88)

0.13

 UGY (22)

59.36 (24.86)

77.55 (60.01)

-18.19 (-46.55, 10.19)

0.20

 PGY (25)

61.32 (39.01)

77.32 (75.01)

-16.00 (-50.29, 18.29)

0.35

 Male (32)

62.72 (29.14)

83.19 (76.80)

-20.47 (-49.82, 8.88)

0.17

 Female (15)

55.47 (40.26)

65.13 (41.83)

-9.66 (-40.37, 21.04)

0.52

TNU (N)

Mean (SD)

Mean (SD)

  

 All (47)

130.70 (53.64)

130.00 (53.01)

0.70 (-21.12, 22.57)

0.95

 UGY (22)

140.05 (56.11)

146.05 (49.96)

-6.00 (-38.32, 26.32)

0.71

 PGY (25)

122.50 (51.09)

115.84 (52.50)

6.66 (-22.82, 36.10)

0.65

 Male (32)

134.44 (59.55)

123.50 (53.09)

10.94 (-17.26, 39.13)

0.44

 Female (15)

122.73 (38.76)

143.80 (51.86)

-21.07 (-55.31, 13.17)

0.22

  1. T1Time required to use ultrasound to identify the anatomy of the insertion site and locate IJV
  2. T2Time required under real-time ultrasound guidance to puncture IJV with a CVC syringe (Seldinger needle) and obtain venous flashback
  3. TUT1 + T2: Procedure time using US
  4. TNUDuration of guide wire insertion and CVC placement during the procedure. Specifically, the time required to complete this process without the aid of ultrasound
  5. CVC Central venous catheter, UGY Undergraduate students, PGY Postgraduate physicians, AR-USA Ugmented reality ultrasound using a head mounted display, S-US Standard ultrasound without visual overlay