Walking Home from The ICU Episode 10: I Can’t Move
In this episode, Kali talks with Jim and Cheryl Rettinger about what it’s like to be sent to LTAC with no expectations of returning home and what happens when patients have not moved for weeks+. What does their journey to recovery looks like? Plus, they discuss the psychological effects on survivors and loved ones. Episode
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Walking Home from The ICU Episode 9: The Big Picture of Immobility
What happens down the road to patients that are on bedrest during their time on the ventilator? Is there another way? Let’s put it into the big picture. Episode Transcription Kali Dayton 0:28 Now I want to talk about some things that will make us as ICU providers a little uncomfortable. So buckle up and
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Walking Home from The ICU Episode 6: Broken Brains
In this episode, survivors tell us what “cognitive deficits” really look like and the impact they have on their function and lives. Episode Transcription Kali Dayton Today, I want to talk about cognitive deficits. Dr. Ely gave us insight into the brain injury that happens as a result of ICU delirium. For a while, I
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Walking Home from The ICU Episode 5: The Big Picture of ICU Delirium with Dr. Wes Ely
Kali talks to Dr. Wes Ely, sub-specialist in pulmonary and critical care medicine, and creator of the cam scoring tool and the ABCDE F bundle. Episode Transcription Kali Dayton Today, we’re going to be talking to Dr. Wes Ely. Dr. Ely is a sub specialist in pulmonary and critical care medicine, and has been a
Walking Home from The ICU Episode 4: Sedation is NOT Sleep
Kali talks about what prolonged sedation is really like and survivors share their stories about what they really experienced under sedation. Episode Transcription Kali Dayton Today I want to talk about what prolonged sedation is really like. A nurse once told me, “I love to get and give propofol”. So I asked if she had
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Walking Home from The ICU Episode 3: DNS = Do NOT Sedate Me
Kali talks to Susan East, three-time “ARDS” or “ARDS” survivor, about acute respiratory distress syndrome – the most severe forms of lung failure. Episode Transcription Kali Dayton Hello, and welcome back. Today we’re going to talk to Susan East who is a three time “ARDS” or “ARDS” survivor, which represents acute respiratory distress syndrome, which
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Walking Home from The ICU Episode 2: How Did We Get Here??
Kali talks about the history of ventilators and sedation with Dr. Terry Clemmer, one of the first pioneers in the founding of critical care. Episode Transcription Kali Dayton Hello. Today we’re going to be talking about the history of ventilators and sedation. To understand where we are as a critical care world. And where we
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Walking Home from The ICU Episode 1: Start Here
Kali shares the variation in sedation and mobility practices she witnesses in critical care throughout the USA. ICU survivors changed her perspective and belief in what is right and best for patients. Episode Transcription You are listening to “Walking Home From the ICU”. We will be exploring how to save and preserve lives in the
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I stumbled upon Kali’s podcast midway through my anesthesia critical care fellowship in February 2021. At our institution, I got the impression that patients in the ICU either got better on their own or had a prolonged and complicated course to LTAC or death. In her podcast, Kali explained that LTAC was rarely the outcome for patients in the Awake and Walking ICU™ in Salt Lake City.
Their ICU survivors hardly ever got trached, PEGed, or sent to LTAC, and literally walked out of the hospital in condition as close to their previous health as they could be. Although the concept of using no sedation on ventilated patients was completely foreign to me, it made sense based on what I had read in the literature. I devoured all of the episodes from the beginning, many of them bringing tears and regret for my ignorance, followed by inspiration and hope in later episodes. Listening to her podcast has been one of the most profound experiences in my short, eight-year career in medicine.
After discovering the no sedation, early mobility practice at the Awake and Walking ICU™, my focus shifted to bringing it to my own institution. I visited Salt Lake City in March to witness it with my own eyes. Since then, I’ve been in touch closely with Kali and Louise to learn the practical approaches to sedation wean and sedation avoidance for newly intubated patients in the ICU.
Mikita Fuchita, MD
Colorado, USA
Perception Versus Reality: Debunking The Myths About Medically-Induced Comas
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