Month: June 2020

Walking From ICU Episode 46 Waking Up After Decades of Sedation

Walking Home From The ICU Episode 46: Waking Up After Decades of Sedation

What is like for a seasoned ICU nurse with decades of valuable experience to completely change their sedation practices? What is like to then re-enter a “normal” environment and strive to continue the best practice? Paula shares with us her personal shock and conversion. Episode Transcription Kali Dayton 0:28 Hello, and welcome back. New listeners,

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Walking From ICU Episode 45 Physical Therapy In the ICU During COVID19

Walking Home From The ICU Episode 45: Physical Therapy In the ICU During COVID19

What roles do physical and occupational play in helping COVID19 patients survive and thrive? How have they changed their approaches during the challenges of COVID19? Why should we never remove their therapies from ICU care? Episode Transcription Kali Dayton 0:28 When COVID-19 came our way with concerns about isolation, patient load, and PPE immediately physical

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Walking From ICU Episode 44 Walking Home From the ICU after COVID19

Walking Home From The ICU Episode 44: Walking Home From the ICU after COVID19

When 69-year-old Dr. Ken Hurwitz was intubated for COVID19, how was his life saved and even preserved? After 3 weeks on the ventilator, why was he able to walk away and go straight home? Episode Transcription Kali Dayton 0:28 In the past few episodes, we learned about the conditions, treatments and outcomes experienced during the

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ICU testimonialI 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

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