Outcomes Associated with Implementing the Respiratory Knowledge Portal (RKP) into Daily ICU Rounds: A Retrospective Observational Trial

Automated Near Real-Time Ventilator Data Feedback Reduces Incidence of Ventilator-Associated Events: A Retrospective Observational Study

“…The problem herein lies in the ability for an institution to reliably comply with these guidelines, where real-world data shows a significantly smaller improvement in outcomes compared with those performed in these prospective clinical trials ( 8 ). RKP effectively focuses on these guidelines and weaning protocols to output critical patient and equipment information to clinicians, allowing them to more easily comply with best practice protocols and decrease adverse events ( 9 ). The use of a central workstation RKP, however, may be suboptimal for the multidisciplinary team when rounding, potentially explaining the benefit seen here with a tablet-interface RKP incorporated directly into daily rounds in real-time.…”

“…Protocol compliance, specifically compliance with spontaneous breathing trials (SBTs), has been associated with rapid liberation from the ventilator, reductions in VAEs, and reductions in healthcare costs. More importantly, timely successful weaning has been shown to save lives ( 4 , 5 , 7 – 9 ). Despite having weaning protocols in place, patient outcomes in the real-world setting often do not reflect those in prospective studies, likely because of how difficult it is outside of a clinical trial to compile and organize the data and numerous medical teams required to practice them efficiently ( 8 ).…”

“…The Respiratory Knowledge Portal (RKP) (Vyaire Medical, Mettawa, IL) is an electronic system that gathers crucial physiologic and nonphysiologic information on mechanically ventilated patients and presents it across multiple medical teams to assist in their clinical management and recognition of adverse events. RKP can be individualized according to an institution’s best weaning practice protocols for mechanical ventilation and historically was outputted to a central workstation for review by medical teams, showing both patient data and adherence to the institution’s protocols ( 9 ).…”