Dayton Walking Through ICU Episode 3 Quick! Risks of Medically-Induced Comas

Walking You Through The ICU Episode 3: Quick! Risks of Medically-Induced Comas

In this episode, Kali dives deeper into the reality, history, and culture of medically-induced comas including the risks of prolonged sedation. Episode Transcription Episode 2: Quick! What you need to know about medically induced-comas. The next few episodes, we will dive deeper into the reality, history, and culture of medically-induced comas. Yet, if you or

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Sally’s Story: How Outdated ICU Patient Care is Crippling Outcomes for COVID Patients

Sally’s Story: How Outdated ICU Patient Care is Crippling Outcomes for COVID Patients

Throughout the pandemic, it’s become increasingly obvious that a lack of evidence-based practices is having a devastating effect on ICU patient care. Over the last two years, I’ve seen countless examples of this, and it breaks my heart because most of these tragedies are totally preventable. One of the most poignant examples of this can

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As an RN in the Medical-Surgical ICU at the hospital I work at, I began my interest in ICU Liberation through an Evidence-Based Practice project.

While I was initially grabbed by what the literature has to say about over-sedation and patient outcomes, it wasn’t until I discovered Kali’s Walking Home From The ICU podcast that a culture of sedationless ICU care sounded tangible. The group I worked with on the project was both inspired, devastated, and intrigued by the stories Kali illuminates on the podcast, and we were able to bring her to our hospital for a virtual Zoom Webinar, where she presented on the practices in the Awake and Walking ICU.

This webinar was an incredible way to draw attention toward this necessary culture shift as Kali shared stories of patients awake and mobile in the ICU despite the complexity of their illness. The webinar inspired our final draft for the new practice guideline on analgesia and sedation management in the ICU, and since then we have seen intubated COVID patients playing tic tac toe on the door with staff members on the other side, taking laps around the unit, performing their own oral care using a hand mirror, and most importantly, keeping their autonomy and integrity while fighting to leave the ICU to resume the life they had before coming in.

Nora Raher, BSN, RN, MSICU
Virginia, USA

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Perception Versus Reality: Debunking The Myths About Medically-Induced Comas

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