Walking Home From The ICU Episode 65: “Create Survivors, Not Victims”
Jeroen Molinger, MSc brings the research to the bedside. He ties together the importance of muscle maintenance, nutrition, and how to create survivors not victims. Episode Transcription Kali Dayton 0:01 Jeroen, thank you for being with us again. I know I’m taking a lot of your time. But I think we all really appreciate
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Walking Home From The ICU Episode 64: Nutrition During Critical Illness
What role does nutrition play in improving outcomes in the ICU? How can we help preserve muscle through appropriate nutrition during critical illness? Jeroen Molinger, MSc continues to upgrade our approach to critical care through exercise physiology. Episode Transcription Kali Dayton 0:28 In the ICU world, there is a new emphasis on ICU rehabilitation,
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Walking Home From The ICU Episode 63: Muscles Matter
Why is ICU-acquired weakness an independent predictor of mortality? What role does muscular atrophy play in multi-organ failure? When we unnecessarily sacrifice muscles for other organs, how badly do we damage patients’ chances to survive and thrive? Jereon Molinger, MSc, brings eye-opening information to the discussion. Episode Transcription Kali Dayton 1:51 Now let’s talk
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Walking Home From The ICU Episode 62: Patient and Families Have the Right to Know the Risks
We say we respect patient autonomy. We provide patients or families informed consent prior to intubation. Should patients and families be warned of the risks and repercussions of sedation and immobility? When sedation is nonessential, should patients be given the choice to be comatose or awake and moving? Episode Transcription Kali Dayton 0:19 If
Walking Home From The ICU Episode 61: “You Can’t Sedate Away Delirium”
What barriers do we have in our ICU culture that prevent us from appropriately addressing delirium? What can we do to foster a better approach to helping delirious patients that are difficult to care for? Dr. Swamy gets real as we discuss the reality of delirium from our side of the bed. Episode Transcription
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Walking Home From The ICU Episode 60: “Just Let Them Sleep”
For decades we have sedated patients with the belief that it is more humane to “sleep” through critical illness. Survivors have told us their experiences were not “sleep” to them. What do neurologists and researchers say about the quantity and quality of sleep during medically-induced comas? Dr. Williams Roberson shares with us her research and
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The service Dayton ICU Consulting provided was exceptional and above expectations. As an ICU medical director, I have had to unlearn what has been taught to us over the years and what we thought was right. When I started listening to the Walking Home From The ICU podcast, I felt profound sadness and guilt for what we did to other human beings thinking what we were doing was right.
I have changed my practice and we had Dayton ICU Consulting at our hospital in each of our intensive care units for multiple sessions. It was eye-opening for the staff, especially the bedside RNs. We have developed significant momentum, especially in our surgical and trauma ICUs where staff that were non-believers are now champions of this movement. We have done videos of patients’ experiences and plan to use them to educate new hires. I am very excited about where we have come from and expect great things.
I cannot thank Kali Dayton and our staff enough for helping us improve ICU care and experiences for our patients.
Lawrence Bistrong, MD, FCCP, Medical and Surgical Intensive Care Unit Medical Director at Mercy San Juan Medical Center
Perception Versus Reality: Debunking The Myths About Medically-Induced Comas
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