A multicenter population-based effectiveness study of teleintensive care unit-directed ventilator rounds demonstrating improved adherence to a protective lung strategy, decreased ventilator duration, and decreased intensive care unit mortality.
Publication/Presentation Date
8-1-2014
Abstract
PURPOSE OF THE STUDY: The purpose of the study is to determine if teleintensive care unit (ICU)-directed daily ventilator rounds improved adherence to lung protective ventilation (LPV), reduced ventilator duration ratio (VDR), and ICU mortality ratios.
METHOD USED: A retrospective observational longitudinal quarterly analysis of adherence to low tidal volume LPV (
RESULTS: Before ventilator rounds implementation, there was wide variation in hospital adherence to low tidal volume (29.5±18.2; range 10%-69%). Longitudinal improvement was seen across hospitals in the 3 Qs after implementation, reaching statistical significance by Q3 postimplementation (44.9±15.7; P
CONCLUSIONS: Implementation of teleICU-directed ventilator rounds was associated with improved and durable adherence to LPV and significant reductions in both VDR and ICU mortality.
Volume
29
Issue
4
First Page
7
Last Page
14
ISSN
1557-8615
Published In/Presented At
Kalb, T., Raikhelkar, J., Meyer, S., Ntimba, F., Thuli, J., Gorman, M. J., Kopec, I., & Scurlock, C. (2014). A multicenter population-based effectiveness study of teleintensive care unit-directed ventilator rounds demonstrating improved adherence to a protective lung strategy, decreased ventilator duration, and decreased intensive care unit mortality. Journal of critical care, 29(4), . https://doi.org/10.1016/j.jcrc.2014.02.017
Disciplines
Medicine and Health Sciences
PubMedID
24636928
Department(s)
Department of Medicine
Document Type
Article