The effect of using smart glasses integrated ultrasonography on the success of the procedure and comfort of the anesthesiologist in radial artery catheterization

"The Effect of Using Smart Glasses Integrated Ultrasonography on the Success of the Procedure and Comfort of the Anesthesiologist in Radial Artery Catheterization" Aim: In vascular interventions performed with ultrasonography (USG), the comfort of the practitioner and hand-eye coordination become very important, especially in interventions applied to small structures such as the radial artery. In this context, it is aimed that radial artery catheterization with the use of smart glasses integrated USG increases the hand-eye coordination in practitioners with different experiences, increasing the success of the intervention compared to the intervention with standard USG, shortening the time, and increasing satisfaction by providing a more comfortable USG use experience. Materials and Methods: Patients over the age of 18 who will be operated on electively in the operating room of Ankara University Faculty of Medicine were divided into two groups. The first group underwent standard USG imaging, and the second group performed radial artery catheterization with smart glasses integrated USG imaging by two anesthesiologists with different interventional experience. In both groups, the success rate of the intervention was checked and the duration of the intervention was measured. Anesthesiologist satisfaction after the procedure was evaluated with a 5-point Likert scale. Results: Sixty patients were included in radial artery catheterization using standard USG and 59 patients were included in catheterization with smart glasses integrated USG. There was no significant difference between the two groups in terms of demographic data of the patients. The intervention time of the less experienced practitioner with smart glasses integrated USG was found to be shorter than the intervention time using standard USG (99.73±75.18 , 49.07±29.9 ; p<0.001). Interventions with smart glasses in the same practitioner were evaluated as an increased level of satisfaction compared to standard use (p=0.001). There was no significant difference between the two applications in terms of the intervention time (59.13±41.98 , 44.66±32.24 ; p>0.001) and the level of satisfaction (p>0.001) in the practitioner with more experience. Conclusion: Radial artery catheterization with the use of smart glasses integrated USG shortens the intervention time compared to the standard use in practitioners with less experience. Increasing hand-eye coordination shortens the procedure time and increases satisfaction compared to the intervention with standard USG imaging. Keywords: Radial artery catheterization, USG, Smart glasses