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

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 ( o 2 /fraction of inspired oxygen TM (Andover, MA) platform, providing ICU care and process improvement. 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 P P P 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.