Walking Home from The ICU Episode 22: Interdisciplinary Teamwork
Patients cannot walk out of the ICU without the efforts and expertise of each discipline. Kali discusses the role each discipline plays in returning patients to their lives. Episode Transcription Kali Dayton I saw a profound statement on Twitter that said, “No one person can overcome delirium.” That is so true. It is as Polly
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Walking Home from The ICU Episode 21: What We’ve “Always Done” Isn’t Always Right
Polly Bailey, ACNP, shares with us her journey to building an awake and walking ICU. Decades before the research and in a generation of paralytics and benzodiazepines, she saw a problem and had a vision. Episode Transcription Kali Dayton So now you’ve heard about patients that’s been weak on the ventilator with high settings
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Walking Home from The ICU Episode 20: A Chance To Say Goodbye
Though avoiding sedation and mobility decreases mortality, death is not always avoidable. Kali discusses how being awake and mobile during critical illness impacts your last mortal moments and what it looks like to have a chance to say goodbye. Episode Transcription Kali Dayton This episode, I want to share three sacred stories of patients
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Walking Home from The ICU Episode 19: Walking On ECMO Part 2
In Part II, Tyler and Amber Lintz share with us how Tyler was admitted for severe septic shock, pneumonia, and ARDS and eventually needed ECMO but was still allowed to keep walking. Tyler also shares with us how he returned to being a firefighter 3 months after ECMO. Episode Transcription Tyler Lintz The days
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Walking Home from The ICU Episode 18: Walking On ECMO Part 1
Tyler and Amber Lintz share with us how Tyler was admitted for severe septic shock, pneumonia, and ARDS and eventually needed ECMO but was still allowed to keep walking. Tyler also shares with us how he returned to being a firefighter 3 months after ECMO. Episode Transcription Kali Dayton Tyler, Amber thank you so
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Walking Home from The ICU Episode 17: Walking On The Ventilator For 17 Days
Joan Johnston was admitted for ARDS and remained on the ventilator for 17 days. Here, she shares with us what it was like to be awake, walking, and even showering while intubated. Episode Transcription Kali Dayton Hello, and welcome back. Today we’re going to be talking to Joan Johnston. She was a 38 year
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Walking Home from The ICU Episode 16: Defending the Defenseless
In this episode, we look at how James was admitted for severe mycoplasma pneumonia that turned into mild ARDS and how his Downs Syndrome and autism inspired the ICU team to get creative to keep him awake and walking on the ventilator. Episode Transcription Kali Dayton I want to tell the story for someone
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Walking Home from The ICU Episode 15: Walking Through Severe ARDS
Bryan Carter shares his story about being admitted for severe pneumonia that became severe ARDS, how he was allowed to be awake and walking on the ventilator until he was proned and how his treatment impacted his outcomes. Episode Transcription Kali Dayton Brian Carter is an ARDS survivor. He was admitted for speared streptococcal
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Walking Home from The ICU Episode 14: Different Treatment Different Outcomes
If we treated patients differently, would their outcomes be different? What if patients never stopped walking during critical illness? In this episode, one ICU dared to ask. Episode Transcription Kali Dayton For the past 13 episodes, we have learned about the mental psychological and physical suffering of survivors of prolonged sedation, delirium and immobility.
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Walking Home from The ICU Episode 13: Loved Ones Are Survivors Too Part II
Part II of how caregivers also leave ICU with high rates of PTSD and long-term life impacts. Mike Maranhas shares his side of his wife’s ICU stay and recovery. Episode Transcription Kali Dayton Bella mentioned to me that she had terrible hallucinations and delirium during that time being so profoundly sedated. And even once she
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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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