Implementation of a Remote Respiratory Therapy in a Donor Center ICU Using a Telecritical Care Platform

Q: What does this research mean for the field?

Comprehensive remote respiratory therapy, including full ventilator management, can be safely and effectively implemented in a brain-dead donor care ICU, significantly reducing bedside staffing requirements and labor costs while maintaining favorable organ procurement outcomes. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

Michael Ghio; Heather Pavlichko; Arpit Patel; Jamie Ann Acero-Webb; Brianna Howley; Elizabeth Brown; Kathleen O’Neill; Jose L. Pascual; Niels D. Martin

doi:10.1097/ccm.0000000000007231

June 4, 2026Critical Care Medicine

Implementation of a Remote Respiratory Therapy in a Donor Center ICU Using a Telecritical Care Platform

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Key Points

This study aims to assess the feasibility and operational impact of delivering remote respiratory therapy in a brain-dead donor ICU.
Prospective observational study over 12 months with 182 organ donors.
Remote respiratory therapy included ventilator management and procedural support.
Measurements included procedural workload, in-person therapy utilization, and donor outcomes.
eRT completed 3872 respiratory procedures with 1782 hours of remote care.
In-person support was needed for only 119 hours (6.1%), primarily for transport.
520 organs were procured with an observed-to-expected ratio of 1.19, and estimated savings of $306,952 in labor costs.

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Implication

Prospective observational study evaluates remote respiratory therapy impact in organ donor ICU, suggesting effective care delivery.

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Cite This Study

Ghio et al. (2026) studied this question.

synapsesocial.com/papers/6a23bbbb71a5da9775e77326 https://doi.org/10.1097/ccm.0000000000007231

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Implementation of a Remote Respiratory Therapy in a Donor Center ICU Using a Telecritical Care Platform

Key Points

No abstract yet

Implication

Discussion

Cite This Study

Implementation of a Remote Respiratory Therapy in a Donor Center ICU Using a Telecritical Care Platform

Key Points

No abstract yet

Implication

Discussion

Cite This Study

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