360° Camera Versus Two-View Standard Video Camera Capture of Neonatal Resuscitation: Optimizing Recording for Observation of Resuscitation Steps

Background Fixed-camera video recordings of neonatal resuscitation have been utilized to facilitate post-event debriefing and evaluate guideline adherence. Traditional video capture is limited in the field of view it provides, requiring multiple cameras to capture the relevant steps of the resuscitation. Objective We sought to examine the feasibility of a 360° video camera (360V) (Gear 360, Samsung, Vietnam) compared to a traditional two-view standard video camera (SVC) (SimView Mobile Camera, Laerdal Medical, New York) as a method for recording neonatal resuscitation and capturing salient resuscitation factors. Methods This observational study recorded neonatal resuscitation events in a simulated delivery room. Each simulation was recorded by two methods: near- and far-view SVC and 360V. Two independent reviewers analyzed the videos for visibility of Neonatal Resuscitation Program (NRP) steps, audibility, and recording quality of predefined resuscitation events and behaviors. Global visualization and audibility scores were analyzed using a five-point Likert scale. Results A total of 25 simulated neonatal resuscitation events were reviewed. The average global visualization of NRP steps was higher using 360V than with two-view SVC (4.26 vs. 3.33, P = 0.0001). Average global audibility using 360V was also higher than with two-view SVC (4.90 vs. 4.21, P < 0.0001). Motion sickness more often occurred while viewing 360V videos compared to two-view SVC videos (P < 0.0001, Fisher's exact test). However, motion sickness was overall a rare occurrence. Conclusions Average global visualization and audibility were improved using 360V compared to two-view SVC. A 360V is a superior method for reviewing neonatal resuscitation simulations compared to two-view SVC. A limitation of the study is that the location of the SVC in the room may not reflect the ideal placement for capturing visual aspects of neonatal resuscitation. Placement of the camera on the warmer may have yielded different results. Further studies comparing various SVC placements to 360V are warranted.