Walking Home from The ICU Episode 33: COVID19- The Domino Effect
Kali talks about what can we do to improve mortality in the midst of a pandemic and how, as times have changed, our practices must change as well. Episode Transcription Kali Dayton Hello, and welcome back. A lot has been happening in our ICU world. Over the past few weeks, I feel compelled to talk
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Walking Home from The ICU Episode 32: Delirium Day
In commemoration of Delirium Day, it is most appropriate to hear from one of the leading delirium experts, Dr. Sharon Inouye! She shares with us her professional and personal experiences with delirium in all aspects of hospitalization. Episode Transcription Kali Dayton Hello! Today, March 11 is delirium day. So not in celebration, but in commemoration
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Walking Home from The ICU Episode 31: Nurse Manager
In this episode, Nancy talks with Kali about her transition to the awake and walking ICU as a nurse manager. She explains the nurse manager’s role in preserving a culture of humanity in the ICU. She shares with us how sedation cessation saved her own mother’s life. Episode Transcription Kali Dayton Nancy, thank you
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Walking Home from The ICU Episode 30: Speech Language Pathologists
In this episode, Kali talks with Lydia, CCC-SLP, who shares with us the vital role speech therapy plays in helping patients get back to their lives. She explains how awake and walking enables patients to resume eating sooner and preserves cognition. The utilization of speech therapy is explained and applied in ways that the ICU
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Walking Home from The ICU Episode 29: Occupational Therapists
In this episode, Kali talks with Merrill, MOT, to find out how occupational therapy is utilized when patients are awake and walking on the ventilator, what role occupational therapy plays in preserving physical and cognitive function during critical illness, and how this enhanced role has impacted Merrill’s his career. Episode Transcription Kali Dayton I’m
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Walking Home from The ICU Episode 28: Pharmacists
In this episode, Kali talks with Kathryn, BCCCP. She tells us of her culture shock coming to the awake and walking ICU after years in units around the country and about the role pharmacists play in delirium prevention and preservation of function in the ICU. She also shares how this shift in focus has enhanced
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Walking Home from The ICU Episode 27: Physicians
Dr. Badke, MD, shares what it was like to shift perspective and culture as a new intensivist in the awake and walking ICU. He explains what role the physician plays in helping patients walking home after the ICU. Episode Transcription Kali Dayton Dr. Badke, thank you so much for joining us. Dr. Badke Thank you
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Walking Home from The ICU Episode 26: Nurse Practitioners
Kali talks with Louise, ACNP, who explains how nurse practitioners are guardians of delirium prevention and preservation of function for their patients in the ICU. Episode Transcription Kali Dayton Louise, thanks so much for joining us. So you’ve done this, the nurse and a nurse practitioner for 27 years, what has your journey throughout
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Walking Home from The ICU Episode 24: Physical Therapists
Kali talks with Angels, DPT about how physical therapists in the awake and walking ICU save lives and enable patients to have their lives back after discharge. They talk about what is it like for physical therapists that get to do more than a passive range of motion with patients on ventilators. Episode Transcription
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Walking Home from The ICU Episode 23: Registered Nurses
In this episode, Kali talks with Brandy, an RN who shares with us why she is passionate about keeping brains and bodies strong during critical illness and reveals how humanizing the ICU has impacted her career. Episode Transcription Kali Dayton Brandy, thank you so much for being willing to talk about this with us. I’m
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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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